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Archived: Home of Comfort Nursing Home Good

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Inspection Summary


Overall summary & rating

Good

Updated 7 December 2016

This comprehensive inspection took place on 10 November 2016 and was unannounced. The inspection team consisted of two adult social care inspectors. Home of Comfort Nursing Home is registered to provide accommodation, support and nursing care for up to 30 people. At the time of the inspection, there were 27 people living at the home.

At the last inspection on 23 December 2013 we found the service to be compliant with all regulations we assessed at that time.

There was a registered manager in post. 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 2008 and associated Regulations about how the service is run.

People living at the home said they felt safe. The visiting relatives we spoke with also said they felt their family members were safe as a result of the care provided.

We looked at four staff personnel files and there was evidence of robust recruitment procedures in place.

Staffing levels were sufficient on the day of the inspection to meet the needs of the people who used the service. Staff told us they felt staffing numbers at the home were sufficient. People living at the home also said they felt there were enough staff working at the home and did not have to wait long periods for assistance.

There was an up to date safeguarding policy in place, which referenced legislation and local protocols. The staff we spoke with had a good understanding of safeguarding, abuse and how they would report concerns.

We saw people had risk assessments in their care plans in relation to areas including falls, pressure sores, and malnutrition.

Accidents and incidents were recorded correctly and included a record of the accident or incident, a summary chart and action plan.

The home was adequately maintained and we saw evidence recorded for the servicing and maintenance of equipment used within the home to ensure it was safe to use. Comprehensive records were in place and up to date regarding the safe upkeep of the premises.

Monthly infection control audits were in place and included areas such as furniture, bedrooms and the general environment and equipment. Personal protective equipment (such as gloves and aprons) were available throughout the home. Cleaning schedules were in place and up to date. The premises were clean throughout and free from any malodours.

There was an up to date a fire policy and procedure. Fire safety and fire risk assessments were in place and fire evacuation drills were carried out regularly and staff attendance recorded to ensure all staff undertook regular drills.

We observed staff administering medicines and saw that people were given their medicines as required. Staff who administered medicines had all completed appropriate training in the safe handling of medicines. Records of medicines administration (MAR’s) had been completed consistently and accurately.

People had medication care plans in place which included their photograph to assist staff with accuracy of administration, GP details, details of currently prescribed medicines, if a specific eating regime was in place such as a soft diet, daily nutritional intake charts, and a MAR chart. There were safe systems for ordering, receiving, storage, administration and disposal of medicines.

People told us they felt staff had the sufficient skills, knowledge and training to care for them effectively.

Staff told us they received an induction when they first started working at the home which gave them a good introduction to working in a care environment.

Comprehensive staff training records were in place and staff had completed training in a variety of other areas relative to their job role The staff we spoke with said they received sufficient training to help them undertake their role effectively.

There was a

Inspection areas

Safe

Good

Updated 7 December 2016

The service was safe.

Staffing levels were sufficient on the day of the inspection to meet the needs of the people who used the service and there was evidence of robust recruitment procedures.

People we spoke with who lived at Home of Comfort told us they felt safe.

Records of medicines administration had been completed consistently and accurately. Accidents and incidents were recorded correctly including a record of the accident or incident.

Effective

Good

Updated 7 December 2016

The service was effective.

Staff were subject to a formal induction process and probationary period and there was a staff supervision schedule in place.

The service was complying with the conditions applied to DoLS authorisations.

Staff were aware of how to seek consent from people before providing care or support. People’s care plans contained records of visits by other health professionals.

Caring

Good

Updated 7 December 2016

The service was caring.

Staff spoken to had a good understanding of how to ensure dignity and respect and staff showed patience and encouragement when supporting people.

We heard lots of laughter between staff and people and there was a positive atmosphere within the home.

The service involved people and their families when developing care plans

Responsive

Good

Updated 7 December 2016

The service was responsive.

Care files were well organised and contained information that covered a range of health and social care support needs.

Each person had a detailed care pathway, an assessment of possible risks and a description of the person’s needs for support and treatment.

The home had procedures in place to receive and respond to complaints.

Well-led

Good

Updated 7 December 2016

The service was well-led.

Staff told us they enjoyed their work and that there was a good culture at the home.

We found there were appropriate systems in place to monitor the quality of service.

Team meetings took place, giving staff the opportunity to discuss their work and raise concerns.