• Care Home
  • Care home

Royal Court Care Home

Overall: Requires improvement read more about inspection ratings

22 Royal Court, Hoyland, Barnsley, South Yorkshire, S74 9RP (01226) 741986

Provided and run by:
Healthmade Limited

Latest inspection summary

On this page

Background to this inspection

Updated 19 January 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We received information of concern about infection prevention and control measures at this service. This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 12 January 2022 and was unannounced.

Overall inspection

Requires improvement

Updated 19 January 2022

About the service

Royal Court is a care home providing accommodation and personal care to older people, some of whom are living with dementia. The service can support up to 40 people in one building. At the time of this inspection there were ten people living at Royal Court.

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

The service had significantly improved since the previous inspection. People and staff recognised the service had improved. One staff member said, “Everything is so much more relaxed and happier, everyone is happier, staff, people we support, completely different atmosphere.” The provider had recruited a new manager. People who lived at the service had met the new manager and had an opportunity to ask them questions.

The management team conducted audits and checks to further ensure the quality and safety of services provided to people. The operation of the quality assurance processes had significantly improved and actions arising from audits were being recorded and progressed. The premises were clean and there was good infection control practice in place. There was a friendly atmosphere at Royal Court, and we saw people looked well cared for.

People received safe and caring support at the service. Staff knew people and their needs well, and we saw caring interventions and conversations throughout our inspection. People received their medicines when they needed them, and there were systems in place to ensure people were protected against the risk of abuse. Risks were identified but staff did not always follow the measures to mitigate the risk. This could put people at increased risk of avoidable harm.

We have recommended that the provider refer to current clinical guidelines and best practice to ensure systems, processes and accurate records are in place.

Staff were recruited safely and there were enough of them to keep people safe and to meet their care needs. Staff were receiving appropriate training, which was relevant to their role and people's needs. Staff were supported by the management team and were receiving formal supervisions where they could discuss their on-going development needs.

People’s needs were assessed. Care was planned and delivered in a person-centred way, in line with legislation and guidance. People were supported to eat a healthy balanced diet. A range of meaningful activities were on offer to keep people occupied, according to their individual interests. Complaints and concerns were well managed, and the manager took prompt action to address any issues we raised during the inspection.

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

Although significant improvements had been made since the last inspection, further time was required to ensure that new systems were fully embedded, and consistency of improved practice was evidenced.

Rating at last inspection and update

The last rating for this service was inadequate and there were multiple breaches of regulation (published 07 December 2020). The provider completed an action plan after the last inspection to show what they would do, and by when, to improve.

We undertook targeted inspections (published 05 December 2020) and (published March 2021) to check what improvements had been made. We found the service continued to be in breach of regulations but were not able to provide a rating. This is because we only looked at the parts of the key question, we had specific concerns about.

This service has been in Special Measures since December 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

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

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the well led sections of this full report.

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

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.