Anjulita Court is a care home providing nursing, personal care and support for up to 62 people with a range of social, physical and dementia needs. It is situated in a suburb of Bedford. On the day of our inspection there were 61 people living at the service.
The inspection took place on 8 and 9 July 2015.
The service had a registered manager. 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 felt safe and secure within the environment because of the care and support they received from staff.
Staff had a good understanding of how to protect people from harm. They were knowledgeable of safeguarding vulnerable adults recording and reporting procedures.
People had risk assessments which identified hazards they may face and provided guidance to staff on how to manage any risk of harm.
People were cared for by sufficient numbers of well trained staff who were only employed after all essential safety checks had been satisfactorily completed.
Medicines were stored and administered safely. Staff had been trained in medicines administration and had their competency regularly assessed.
Staff attended a variety of training to ensure they were able to provide care based on best practice when supporting people.
Staff had obtained a valid consent from each person before any care or support was provided. We found that people who had their capacity to make day-to-day decisions formally assessed. When people had been assessed as being unable to make complex decisions, there were records of meetings with family and other professionals involved in their care.
Mealtimes were relaxed and people had a variety of choice and were given support when required.
People were supported to see healthcare professionals in order to ensure their general health was well maintained.
People were happy with the care they received and confirmed that staff were kind, caring and courteous.
Staff understood people’s privacy and dignity needs. They knocked on people’s doors before entering rooms and asked people discreetly if they needed to go to the bathroom.
Members of staff were able to describe the individual needs of people in their care, and worked hard to ensure they received their preferences, choices and wellbeing.
People’s care plans were based upon their individual needs and wishes. Care plans contained detailed information on people’s health needs, preferences and personal history.
People told us they had no reason to complain about the home but felt able to do so if necessary. The provider had a complaints procedure in place which people had access to, including advocacy support if this was required.
The service was well organised which enabled staff to respond to people’s needs in a proactive way. Staff worked well as a team and received good leadership from the registered manager.
We saw that effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvements.