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Inspection Summary


Overall summary & rating

Good

Updated 24 October 2020

Queens Court Nursing Home is a care home providing personal and nursing care to 46 people aged 65 and over at the time of the inspection. The service can support up to 90 people.

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

We received wider provider concerns in relation to the management of medicines and people’s nursing care needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

At the previous inspection we found that people had bed rails in place without the appropriate documentation to determine their consent or safety and we made a recommendation about this. At this inspection risks assessments and consent documentation was in place for the people we looked at.

Medicines were administered by staff who had received training to do so and were managed safely. However, we have made a recommendation in relation to protocols for as and when required medicines. Information found on these protocols did not always give staff enough guidance.

People's needs were assessed before they moved into the service to ensure they could receive the care they required. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. There were enough staff to meet peoples needs

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Quality assurance and audit processes were in place at local and regional level. Appropriate safeguarding and whistle blowing policies and procedures were in place; staff knew how to raise concerns and were confident to do so if needed. Staff were positive about the support provided by the registered manager.

Why we inspected

The inspection was prompted in part due to wider provider concerns received about medicines and people’s nursing care needs. A decision was made for us to inspect and examine those risks.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Queen’s Court Nursing Home on our website at www.cqc.org.uk.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Enforcement

Since the last inspection we recognised that the provider had failed to comply with a condition of their registration (s33 Health and Social Care Act 2008). This was a breach of regulation and we issued a fixed penalty notice. The provider accepted a fixed penalty and paid this in full.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 24 October 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 24 October 2020

Caring

Good

Updated 24 October 2020

Responsive

Good

Updated 24 October 2020

Well-led

Good

Updated 24 October 2020

The service was well led.

Details are in our well led findings below.