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Homefield Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 December 2019

About the service

Homefield Court is a residential care home providing personal and nursing care to people aged 65 and over at the time of the inspection. The home can accommodate up to 24 people in one adapted building. When we inspected 23 people were living at the home.

People’s experience of using this service and what we found

Prior to our inspection the home had been inspected by the London Fire Brigade (LBS). The provider had subsequently been served with a LBS enforcement notice requiring them to complete a range of safety improvements. Some improvements had already taken place. The registered manager assured us other improvements would be completed within the timescales provided in the enforcement notice.

Regular hot water temperature monitoring had taken place. However, the hot water temperatures for taps in five people's rooms were significantly higher than they should have been. The registered manager took action to address this during our inspection.

Quality assurance monitoring had taken place. However, this had not identified and addressed risks associated with fire safety and hot water temperatures.

Maintenance and checks of other safety systems at the home had taken place.

People told us they felt safe. The provider had systems to ensure people were safe and protected from abuse and harm. Staff knew how to recognise abuse and understood the importance of immediate reporting of concerns. Risks to people had been identified and staff knew how to reduce these. People’s prescribed medicines were stored and given safely.

Recruitment of staff was safe and robust. Pre-employment checks had been carried before staff could commence work. People told us there were sufficient numbers of staff to support them.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems at the home supported this practice. People were regularly asked for their views about the support they received.

There were arrangements to ensure that people’s nutritional needs were met. People’s dietary requirements, likes and dislikes were assessed and known to staff. People were able to choose what they ate and drank.

Staff members received regular training and supervision to ensure that they were able to carry out their roles effectively.

People’s privacy and dignity were respected. Staff understood the need to protect and respect people's human rights. People’s personal, spiritual and cultural wishes and needs were respected and supported.

People received personalised care. Their care plans had been regularly reviewed and updated to reflect people's changing needs and wishes. Staff supported people to take part in activities that were relevant and appropriate to them.

People and family members told us that they had no complaints, but they knew who to speak to if they did.

People, family members and staff told us the home was well managed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 20 April 2017).

Follow up:

We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

Inspection areas

Safe

Requires improvement

Updated 21 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 21 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 21 December 2019

The service was not always well-led.

Details are in our well-led findings below.