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Inspection Summary


Overall summary & rating

Good

Updated 21 February 2019

We inspected Ivonbrook Care Home on 11 January 2019. The service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Ivonbrook Care Home provides personal care and accommodation for up to 40 people in one single building. The service provides a permanent residence for people and short-term care beds are available for people to access. On the day of our visit 14 people were using the service.

At our last inspection on the 10 and 11 October 2016 although the provider was not in breach of any regulations we rated the service as requires improvement. This was because people’s care records were not always updated to reflect their current needs and staff were not receiving regular supervisions. At this inspection we saw improvements had been made. People’s care plans were up to date and reviewed on a regular basis to ensure any changing needs were identified. Staff supervisions had commended and a schedule was in place to ensure this was provided on a regular basis.

The service did not have 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.

Plans were in place to gather the views of people and their representatives to ensure they were involved in the ongoing development of the service. Systems were in place and being further developed to monitor the quality of the service, to enable the provider to drive improvement.

People’s individual needs were met as sufficient numbers of trained staff were available to support them. People were supported by staff who understood their role in protecting them from the risk of harm and reporting any concerns. People were supported to keep safe, as individual and environmental risks were assessed and managed. People were supported in a safe way to take their prescribed medicine. The staff’s suitability to work with people was established before they commenced employment. Systems were in place to guide staff on the prevention and control of infection.

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. People and their representatives were involved in their care to enable them to make decisions about how they wanted to receive support in their preferred way. People received a balanced diet that met their preferences and assessed needs. People were supported to access healthcare services and received coordinated support, to ensure their preferences and needs were met.

Staff knew people well and understood the support they needed and their preferences on how this support was delivered. People were treated with consideration and respect by the staff team and they were supported to maintain their dignity. People were supported to maintain relationships with those who were important to them; such as family and friends.

People had opportunities to take part in social activities to promote their well-being. The management and staff team included people and their representatives in the planning of their care. There were processes in place for people and their representatives to raise any concerns about the service provided.

Staff were clear on their roles and responsibilities and felt supported by the management team. The provider understood their legal responsibilities with us and the rating of the last inspection was on display in the home.

Inspection areas

Safe

Good

Updated 21 February 2019

The service was safe.

People received supported by staff that understood their responsibilities to report any concerns. Risk assessments were in place to minimise the risk of injury to people and these were regularly updated to reflect people�s current support needs. People were supported to take their medicines in a safe way that met their needs and preferences. Sufficient numbers of staff were employed to meet people�s needs and recruitment procedures checked staff�s suitability to work with people. The systems to manage infection control and hygiene standards were effective. People�s safety was continuously analysed and actions taken as needed, to ensure their safety was maintained.

Effective

Good

Updated 21 February 2019

The service was effective.

People were supported by trained staff who enabled them to make their own decisions whenever possible. People received a diet that met their requirements and preferences. The manager and staff team worked with healthcare professionals to ensure people�s health was monitored and their changing needs were met.

Caring

Good

Updated 21 February 2019

The service was caring.

People were supported by staff that showed consideration and kindness towards them. People�s dignity was valued and respected and they were supported to make decisions and be as independent as possible. People�s right to maintain relationships with those that were important to them was respected and promoted. People�s rights to confidentiality were protected.

Responsive

Good

Updated 21 February 2019

The service was responsive

People were supported by staff who knew them well and understood their needs and preferences. People received information in a way that was accessible to them. The provider�s complaints policy was accessible to people and their representatives. Arrangements regarding end of life care were discussed with people to ensure their wishes could be followed.

Well-led

Requires improvement

Updated 21 February 2019

The service was not consistently well led

Although improvements had been made since the last inspection continued and sustained care and service improvements have not yet been embedded by the provider. Systems were in place and being implemented to enable the provider and operations manager to monitor the quality and safety of the service and make improvements where needed. The views of people and their representatives were in the process of being sought. The provider understood their responsibilities and regulatory requirements and had resources available to them; including partnership working with other agencies to ensure people�s needs were met.