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The Georgians (Boston) Limited - 50 Wide Bargate Boston Good

Inspection Summary


Overall summary & rating

Good

Updated 18 December 2018

The inspection took place on 30 October and was unannounced.

The Georgians is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Georgians accommodates up to 40 people in one adapted building. It provides nursing and residential care for older people, some of who may be living with dementia and people with physical disabilities or mental health conditions. There were 38 people living at the home on the day we inspected.

There was a registered manager for the home. 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.

At the previous inspection the home was rated as Requires Improvement, at this inspection we saw that the registered manager and the provider had improved the care people received and the home was rated Good. We have recommended that the provider looks at providing accessible information for people.

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 support this practice.

There were enough staff to meet people’s needs in a timely fashion and recruitment practices ensured that staff were safe to work with the people living at the home. Staff received training and support which enabled them to provide care in line with best practice guidance. Staff were kind and caring and had developed good relationships with the people they supported. People were able to make decisions about their lives and their privacy and dignity were respected.

Care plans accurately reflected people’s needs and were regularly updated. Risks to people had been identified and care was planned to keep people safe. Medicines were safely managed and people’s nutritional needs were supported. Where people needed support to eat and drink this was provided calmly and people were not rushed.

The environment was well maintained and the registered manager continued to make improvements to improve people’s experience. The home was clean and systems were in place to minimise the risk of cross infection. Staff had received infection control training and worked in line with best practice guidelines to reduce the risk of infection.

People living at the home and their relatives were confident that the registered manager was improving the care provided. The registered manager had effective systems in place to monitor the quality of care and the environment. Action was taken to resolve any concerns identified. Accidents and incidents were analysed and learning was shared with staff to reduce the risk of similar incidents in the future. People knew how to make a complaint but were encouraged to raise any concerns early so they could be resolved before a complaint was needed.

Inspection areas

Safe

Good

Updated 18 December 2018

The service was safe.

Staff knew how to keep people safe from harm.

Risks to people had been identified and care was planned to keep people safe.

There were enough staff to care for people safely.

Medicines were safely managed.

Staff knew how to protect people from the risk of infection.

Learning from incidents was identified and shared.

Effective

Good

Updated 18 December 2018

The service was effective.

People received assessments and care was provided in line with best practice.

Staff received training and support which enabled them to provide safe care.

People were supported to eat and drink safely.

Staff worked collaboratively with healthcare professionals and people were supported to access healthcare when needed.

The registered manager ensured that the environment met people�s needs.

People�s rights under the Mental Capacity Act 2005 were supported.

Caring

Good

Updated 18 December 2018

The service was caring.

People had developed a good relationship with staff.

People were involved in making choices about their lives.

People�s privacy and dignity were respected.

Responsive

Good

Updated 18 December 2018

The service was responsive.

People had been involved in planning their care.

People�s wished for the end of their lives were respected.

People knew how to complain.

Well-led

Good

Updated 18 December 2018

The service was well led.

People told us that the registered manager was improving the quality of the care provided.

There were effective audits in place to monitor the quality and safety of care.

People�s views of the service were used to improve the care they received.