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Centenary House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 January 2020

About the service

Centenary House is a. residential care home providing personal and nursing care to 10 people aged 65 and over at the time of the inspection. The service can support up to 13 people. All bedrooms are on the ground floor with a communal lounge and conservatory.

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

People and their relatives told us that there had been a lot of improvement in the management of the service and the delivery of care.

The management of medicines at the service had improved, however there recording of applications of topical medicines such as creams was not effective. We have made a recommendation about this. There were no instructions to guide staff about ‘as required’ medicines; however on the second day of our visit these had been put in place. People and their relatives were confident they were safe at the service, a typical comment was, “Oh yes I feel safe, I’m not in the slightest bit worried.” Relatives confirmed improvements had been made to the cleanliness of the service. Risks to people both individual and from the environment were assessed and plans put in place to keep people safe.

The environment had areas with worn furniture and carpets and some parts of the home needed decoration. People were supported by competent staff who were trained and supervised. People were complimentary about the food and told us they had choice. Where people needed particular diets there was information to guide staff and the chef. 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. People were supported to receive the health care they needed.

People and their relatives were complimentary about the staff team and the delivery of care. A relative said, “We are very happy with the care here.” People were supported to live as they wished, and their independence was promoted. Staff respected people’s privacy and dignity and sought consent before delivering any care. Staff knew people well and we observed warm and friendly interactions between people and staff.

Care plans were person-centred and guided staff to deliver care in the way individuals’ preferred. They contained detailed information about people’s preferred routines and interests. There was a range of activities available; some people did not wish to attend and this was respected. Complaints were responded to quickly and used to improve the running of the service. When people approached the end of their life the staff team worked with the district nurse team and GP to manage this.

Leadership and oversight at the service had improved. This is still a work in progress, however there are now mostly effective systems of governance in place. The manager has addressed all the regulatory breaches and has put in place systems to monitor the service. However, the systems in place, while identifying shortfalls in the recording of creams application, had not rectified this. There was a plan in place which identified further work needed on the environment. The culture was now person-centred and aimed to be inclusive of staff, people and relatives. The manager learnt from any incidents. During our inspection when we identified any shortfalls the manager took immediate action.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (Published May 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been rated requires improvement for the last six consecutive inspections, however we found sign

Inspection areas

Safe

Requires improvement

Updated 8 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 January 2020

The service was not always well-led.

Details are in our well-led findings below.