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Inspection Summary


Overall summary & rating

Good

Updated 22 September 2017

The Inspection took place on 30 August 2017 and 7 September 2017 and it was unannounced.

Sweyne Court is registered to provide accommodation and personal care without nursing for up to 43 older people, some of whom may be living with dementia. There were 40 people living in the service at the time of the 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 2008 and associated Regulations about how the service is run.

At the last inspection in June 2016, we asked the provider to take action to make improvements to risks to people’s health and safety, their responsibilities under the Mental Capacity Act 2005 (MCA) and their quality assurance processes. The provider sent us an action plan and the actions have now been completed.

At this inspection, we found that people received safe care and support. Risks to people’s health and safety were fully assessed and had management plans in place to minimise any risks. People’s capacity to make decisions had been assessed and the outcomes were recorded. The registered manager and staff had been trained in the MCA and demonstrated a good knowledge and understanding of the Act and of how to protect people. Staff knew how to protect people from the risk of harm. They had received training and described how they kept people safe. There were sufficient staff who had been safely recruited, were well trained and supervised by the registered manager and senior staff.

People received their medication as prescribed. Medication management was good. There were clear systems in place for ordering, receiving and disposing of medication. People received their medication from trained staff whose competency to administer medication was regularly checked.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People told us they had a choice of food and drink that provided them with a healthy balanced diet. Staff were kind, caring and compassionate and they knew the people they cared for well. They respected people and ensured that their privacy and dignity was always maintained. People expressed their views and opinions and were supported to follow their individual hobbies and interests. People had access to a range of healthcare services and their healthcare needs were met. Advocacy contact details were available if needed.

People’s care needs had been fully assessed and the care plans and risk assessments ensured that people were cared for in a way they preferred. The care plans provided staff with the information that they needed to meet people’s needs and preferences and to care for them safely. People were confident that their concerns or complaints were listened to and acted on. There was an effective system in place to assess and monitor the quality of the service and to drive improvements.

Inspection areas

Safe

Good

Updated 22 September 2017

The service was safe.

People were protected from the risk of harm.

Staff were safely recruited and there were sufficient suitable, skilled and qualified staff to meet people’s assessed needs.

The service had good medication systems and practice that ensured that people received their medication as prescribed.

Effective

Good

Updated 22 September 2017

The service was effective.

People were cared for well-trained and supported staff.

The registered manager and staff had a good knowledge of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS). They had followed the guidance to ensure that people were supported appropriately in regards to their ability to make decisions.

People had a pleasant dining experience with sufficient food and drink There were snacks freely available for people to help themselves to throughout the service.

People had access to healthcare professionals and experienced positive outcomes regarding their healthcare needs.

Caring

Good

Updated 22 September 2017

The service was caring.

People were treated with respect by staff who knew them well. Staff were kind, caring and compassionate in their approach towards people.

People were involved in their care as much as they were able to be. Advocacy services were available if needed.

Responsive

Good

Updated 22 September 2017

The service was responsive.

The assessments and care plans were detailed and informative and provided staff with enough information to meet people’s diverse needs.

There was a clear complaints procedure in place and people were confident that their complaints were dealt with appropriately.

Well-led

Good

Updated 22 September 2017

The service was well led.

People, their relatives and staff had confidence in the registered manager and staff shared their vision to provide people with good quality person centred care.

There was an effective quality assurance system in place to monitor the service and drive improvements.