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Inspection Summary


Overall summary & rating

Outstanding

Updated 30 November 2016

This inspection took place on 20 and 22 September 2016 and was unannounced. The Byars Nursing Home provides accommodation and personal care for up to 30 older people, including people with dementia. On the day of our inspection 30 people were using the service.

The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People were supported by staff who knew how to recognise abuse and how to respond to concerns. Risks in relation to people’s daily life were assessed and planned for to minimise the risk of harm.

People were supported by a team of staff who were skilled and given on-going training and opportunities to develop. People’s rights were protected because staff acted in accordance with the Mental Capacity Act 2005. The principles of the Deprivation of Liberty Safeguards were understood and applied correctly.

People received ongoing healthcare support from a range of external healthcare professionals and people’s health and nutrition were effectively monitored and responded to in line with nationally recognised practice. The registered manager took a pro-active approach to ensuring people who lived with a dementia related illness received care based on best practice.

People were supported with care and compassion and there was an ethos of care which was person-centred, valuing people as individuals. People received a personalised service which was responsive to their individual needs and there was an emphasis on each person’s identity and what was important to them from the moment they moved into the service.

The service was committed to ensuring strong links with the community and placed a strong emphasis on enhancing people’s lives through the provision of meaningful, imaginative activities and opportunities. Complaints were taken seriously, thoroughly investigated and lessons learnt from them.

The service was managed by an experienced, knowledgeable and motivated registered manager who worked in partnership with other organisations to develop new and best practice. There was a strong commitment to deliver a high standard of personalised care and continued improvement based on the views of people who used the service and the enhancement of their lives.

Inspection areas

Safe

Good

Updated 30 November 2016

The service was safe.

People were kept safe and the risk of abuse was minimised because the provider had systems in place to recognise and respond to allegations or incidents. People were provided with information which would ensure they could recognise if they were unsafe.

People received their medicines as prescribed and medicines were managed safely. There were robust systems in place to ensure people risks in relation to the environment were minimised.

There were enough staff to provide care and support to people when they needed it.

Effective

Outstanding

Updated 30 November 2016

The service was exceptionally effective.

People were supported by a team of staff who were skilled in meeting people’s needs and received on-going training and development to enable them to deliver the most effective service.

People’s rights were protected because staff acted in accordance with the Mental Capacity Act 2005. The principles of the Deprivation of Liberty Safeguards were understood and applied correctly.

People received ongoing healthcare support from a range of external healthcare professionals and staff used innovative ways of supporting people to eat enough. People’s health and nutrition were effectively monitored and responded to in line with nationally recognised practice and the registered manager took a pro-active approach to ensuring people who lived with a dementia related illness received care based on best practice.

Caring

Outstanding

Updated 30 November 2016

The service was exceptionally caring

People who used the service and their relatives consistently said staff supported them with care and compassion and got to know people exceptionally well. Positive relationships were cultivated between people who used the service, their relatives and staff and this resulted in people being valued and an ethos of care which was person-centred, valuing people as individuals.

People could express their views and make decisions, which staff acted on and people’s rights to privacy and dignity were valued.

People receiving end of life care were treated love and compassion, as were their relatives and those that mattered to them.

Responsive

Outstanding

Updated 30 November 2016

The service was exceptionally responsive

People received a personalised service which was responsive to their individual needs and there was an emphasis on each person’s identity and what was important to them from the moment they moved into the service.

The service was committed to ensuring strong links with the community and placed a strong emphasis on enhancing people’s lives through the provision of meaningful, imaginative activities and opportunities.

People felt they could raise concerns and complaints were taken seriously, investigated and lessons learned to develop the service in a positive way.

Well-led

Outstanding

Updated 30 November 2016

The service was exceptionally well led.

A clear ethos, which promoted mental and physical wellbeing, was clearly embedded throughout the home with a strong commitment to deliver a high standard of personalised care and continued improvement.

New and innovative ways of further enhancing people's lives were continually being explored and the registered manager worked with other organisations to promote and embed best and new practice.

People, relatives and staff felt their views were listened to and there was a strong positive culture throughout the service. Robust quality assurance systems were in place which took into account people’s views and experiences.