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Inspection Summary


Overall summary & rating

Good

Updated 14 March 2019

This inspection took place on 24 January 2019 and was unannounced.

Notrees is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Notrees accommodates up to 16 older people in one adapted building. There were 15 people at the service at the time of inspection, some of whom were living with dementia.

At our last inspection, we rated the service good. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The registered manager had systems in place to monitor the quality and safety of the home. This included audits, improvement plans and gaining feedback from people and staff. These measures were effective in promoting improvements within the service.

There were enough suitably qualified staff in place to meet people’s needs. The provider had robust procedures in place to monitor recruitment, training, induction and ongoing support of staff. This helped to ensure staff were effective in their role.

Staff were knowledgeable about people’s needs and were caring in their approach. People were treated with dignity and the care they received reflected their preferences. When people received care at the end of their lives, they were given compassionate support which reflected their needs and preferences.

People’s care plans reflected how they would like to receive care. The registered manager had developed these plans using information from people, relatives and healthcare professionals.

Staff understood the need to gain appropriate consent to care. 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.

There were a range of activities which people could take part in and people were able to give feedback to the registered manager to suggest new things to do. The provider had established links with the local community which helped people feel connected to their local area.

Risks associated with people’s health and wellbeing were assessed and mitigated. The registered manager analysed incidents and accidents to establish how the risk of reoccurrence could be reduced.

Risks associated with the environment were well managed to reduce risk of harm. There were plans in place to protect people from harm in the event of an emergency.

The provider had safeguarding policies and procedures in place which helped to reduce the risk of harm to people. Where safeguarding concerns were raised, the provider worked in partnership with local safeguarding teams to help keep people safe.

People were supported appropriately with their nutrition and healthcare. Where risks were identified, the appropriate professionals were consulted and their recommendations were incorporated into people’s care.

The home was a clean, hygienic environment, which was suitable for people’s needs. People had access to outside space and were encouraged to use the garden when possible.

There were safe systems in place to manage people’s medicines.

There were systems in place to respond appropriately when people had complaints or concerns.

Inspection areas

Safe

Good

Updated 14 March 2019

The service remains good.

Effective

Good

Updated 14 March 2019

The service remains good.

Caring

Good

Updated 14 March 2019

The service remains good.

Responsive

Good

Updated 14 March 2019

The service remains good.

Well-led

Good

Updated 14 March 2019

The service remains good.