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Inspection Summary


Overall summary & rating

Good

Updated 11 September 2019

About the service

Palace House Care Home provides accommodation and care and support for up to 33 people. The service also provides nursing care. There were 30 people living in the home at the time of the inspection.

Palace House Care Home is an extended detached older property which has retained many original features. It is situated on the main road between Burnley and Padiham and is near to shops, churches, public transport and local amenities. Accommodation is provided on two floors with a passenger lift. Car parking is available to the rear of the house.

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

People were happy about the care and support they received and with the way the home was managed. They made positive comments about the registered manager and staff. People's views about the quality of care provided were used to make improvements to the service. The quality of the service was monitored, and appropriate action was taken to improve the service when needed. Lessons had been learned and shared with staff when things went wrong.

People felt safe and described staff as kind, friendly and caring. Staff understood how to protect people from abuse. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. Staff received induction training and ongoing training, supervision and support. They felt valued and supported and enjoyed working at the home. They told us the home had improved since the last inspection.

Recruitment processes ensured new staff were suitable to work in the home and there were enough numbers of staff to meet people's needs and ensure their safety. People had no concerns about the care they received. People received their medicines when they needed them from staff who had been trained and had their competency checked. The registered manager was making improvements to some aspects of the management of people’s medicines and was currently being supported by the local authority medicines management team.

People's care needs were assessed prior to them living in the home. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff treated people with dignity, respect care and kindness and knew people well. We observed positive, caring and warm interactions between staff and people. Staff spoke with people in a friendly and patient manner and we overheard friendly banter. Staff knew about people's routines and preferences and people told us they received the care they needed and wanted. Each person had a care plan that detailed their care and support needs; improvements were being made to the records. People or their relatives, where appropriate, had been consulted about care needs.

People enjoyed the meals and were offered choices. They were supported to eat a nutritionally balanced diet and had access to various healthcare professionals, when needed. People enjoyed activities and entertainments. Links with local community groups were being further developed to enhance people's lives. People were supported to maintain contact with their friends and family and friendships had developed within the service. People could raise any complaints or concerns if they needed to and they knew who to speak with.

People were happy with their bedrooms and with the communal areas. Communal areas were comfortable, clean and bright. Bathrooms were appropriately adapted and there was access to outside seating areas. An improvement plan had been developed to ensure ongoing refurbishment and redecoration.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 27 November 2018). There was a breach of regulation12 in relation to medicin

Inspection areas

Safe

Good

Updated 11 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 11 September 2019

The service was well-led.

Details are in our well-led findings below.