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Inspection Summary


Overall summary & rating

Good

Updated 23 October 2018

This unannounced, comprehensive inspection took place on the 03 October 2018 with a returned announced visit made on the 04 October 2018. Olivet provides accommodation and support for up to 68 adults with nursing and personal care needs. The home comprised three units, Garden House for residential care, Magnolia for nursing care and Cedars for those living with dementia. At the time of our inspection visit 62 people were living there.

At our last inspection in July 2017, we rated the service requires improvement under the key questions ‘is the service effective and well led’. At this inspection we found there had been improvements made to support a rating of good.

Olivet is registered as 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.

There was 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 and associated Regulations about how the service is run.

People were kept safe. Staff understood how to protect people from risk of harm. People's risks were assessed, monitored and managed to ensure they remained safe. Processes were in place to keep people safe in the event of an emergency such as a fire. People were protected by safe recruitment procedures and sufficient numbers of staff were available to meet people's support needs. People received their medicines as required. Staff understood their responsibilities in relation to hygiene and infection control.

People received effective support from staff that had the skills required to support them safely. 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 were encouraged to eat healthily. People had access to healthcare professionals when needed, in order to maintain their health and wellbeing.

Staff encouraged people's independence where practicably possible. People received a service that was caring and respected their privacy. People were supported by staff who knew them well.

People received a service that was responsive to their individual needs. Care plans were personalised and contained details about people's preferences and their routines. People were supported to pursue hobbies and activities that interested them and processes were in place to respond to any issues or complaints. Peoples’ faith was very important to them. This included their end of life (EOL) wishes which we saw were openly discussed between the person, family members and healthcare professionals. This meant that people’s EOL wishes were respected and fulfilled to the person’s individual preferences.

The service was well led, the registered manager understood their role and responsibilities and staff felt supported and listened to. People and staff were encouraged to give feedback and their views were acted on to enhance the quality of service provided to people. People and staff were complimentary about the leadership and management of the home and said the registered manager was friendly and approachable. There were systems in place to monitor the quality of service provided to people and the provider worked in conjunction with other agencies to provide people with effective care.

Inspection areas

Safe

Good

Updated 23 October 2018

The service was Good

People were protected from the risk of abuse and avoidable harm because staff knew how to report concerns and processes were in place to support safe practice.

People were supported by sufficient numbers of staff following the completion of a robust recruitment process.

People safely received their medicines from staff that were appropriately trained in medicine administration.

People lived in an environment that was clean and well maintained.

Effective

Good

Updated 23 October 2018

The service was Effective

People were supported by staff that had the skills and knowledge to deliver effective care and support. There had been improvements made to the training, monitoring and administration of medicines.

Peoples� needs and choices were assessed and personalised to meet peoples� individual requirements.

People were supported to maintain a healthy and balanced diet.

People were supported to access healthcare services to ensure they received effective care and treatment.

People�s consent was sought by staff and they were involved in making decisions about their care. Staff understood when it was appropriate to make best interests decisions that were made in line with the Mental Capacity Act.

Olivet was in the process of formulating changes to the home environment to make it more dementia friendly.

Caring

Good

Updated 23 October 2018

The service was Caring

People received care and support from staff that treated them with the kindness and respect.

People were involved in making decisions about their care and support and felt they could express their views.

People were supported to be as independent as much as possible by staff that respected people�s privacy and treated people in a dignified manner.

Responsive

Good

Updated 23 October 2018

The service was Responsive

People received personalised care that was continuously assessed to include their interests, hobbies, cultural and religious needs.

People and their relatives were consulted on improvements to be made to the service. People knew how to complain and processes were in place to learn and make improvements where required.

People�s preferences and choices were discussed to ensure the service supported people at the end of their life.

Well-led

Good

Updated 23 October 2018

The service was Well led

There had been improvements made to the management of the service that included a clearer vision to deliver quality care and support to people.

Staff were supported by a management team that had the skills and knowledge to encourage and motivate.

People and their relatives felt involved in the developing of the service that worked in partnership with them and other agencies.