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Inspection Summary


Overall summary & rating

Good

Updated 4 January 2019

About the service: Poldhu is a residential care home that provides personal and nursing care for up to 63 predominantly older people. At the time of the inspection 37 people used the service. Some of these people were living with dementia. Poldhu is part of the Swallowcourt group which has two other nursing homes in West Cornwall.

People’s experience of using this service:

At previous inspections we found staff did not always respond quickly to call bells and people were often left waiting for support. As a result of these concerns robust call bell audits were introduced. This enabled the management team and the provider to identify how long people were waiting for support and make changes to help ensure people’s experience of the service improved. People and relatives were positive when asked about waiting times and audits showed the majority of call bells were answered very quickly. During the inspection we observed staff were quick to respond to requests for support and were patient and unhurried in their approach. There had been some changes to the nurse staff team but this had stabilised when the inspection took place.

The management team and staff knew people well and understood their likes and preferences and health needs. Staff were caring and spent time chatting with people as they moved around the service. Relatives told us they were welcome at any time and any concerns were taken seriously and responded to. Records showed the registered manager arranged to meet with people, and their relatives, privately to discuss any worries they might have.

Care plans were up to date and reflected people’s current needs. When people were identified as being at increased risk, monitoring records were kept to help ensure staff would quickly be aware if there were any changes to their health. The registered manager was keen to work with other healthcare professionals to develop and improve people’s experience of care.

Staff were well supported by a system of induction, training, supervisions, appraisals and staff meetings. They had opportunities to raise concerns or suggestions and be involved in the development of the service. Quality audits were carried out to identify any areas for improvement.

Rating at last inspection: Requires Improvement (report published 1 August 2018)

Why we inspected: Our last comprehensive inspection of Poldhu was carried out in January 2018 when we rated the service Requires Improvement and found the service was in breach of the regulations in relation to consent, safe care and treatment and good governance. As a result we issued two requirement notices and a warning notice. We subsequently carried out two focused inspections in March 2018 and July 2018 to check action was being taken to improve the service. At these focused inspections we found the breaches of the regulations had been met. We did not change the rating as we wanted to be sure the improvements would be sustained. At this inspection the service had embedded changes sufficiently to improve the overall rating to Good.

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

Inspection areas

Safe

Good

Updated 4 January 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 4 January 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 4 January 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 4 January 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 4 January 2019

The service was well-led.

Details are in our Well-led findings below.