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Attlee Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 November 2019

About the service

Attlee Court is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Attlee Court has two floors with living accommodation on both. The first floor is for people living with dementia and is accessible by a lift. The home is registered to provide accommodation for up to 68 people and there were 33 people living in the home during our inspection

People’s experience of using this service:

Improvements had been made in relation to systems for managing risks to people’s health and wellbeing although staff did not always follow the detail in people’s risk assessments.

People told us they felt safe at the service.

Systems for managing medicines had improved and were safe.

Care records were inconsistent. This had been identified by the registered manager as being largely due to a mixture of electronic and paper based records. At the time of the inspection work was ongoing to revert to an entirely paper based system.

People said there were enough staff to meet their needs although some said they sometimes needed to wait for support. The registered manager gave assurances they would look at improving deployment of staff.

Staff felt supported by the registered manager and said they received effective training. Training was being arranged for staff supporting people living with dementia.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. Some improvements were needed in relation to recording best interest decisions and mental capacity assessments.

People received support from health and social care professionals as needed.

People said they enjoyed the food, but improvements were needed in the systems to monitor food and fluid intakes.

People said staff were kind and caring and we saw positive interactions.

Care plans did not always evidence a person centred approach and there was a lack of consideration of people’s diverse needs within the care planning process.

People enjoyed the activities provided and said their relatives and friends were welcomed to the home.

People had confidence in the registered manager. Systems were in place to monitor quality and safety within the service. Some improvements were needed to make sure these systems were robust enough to identify all issues.

Rating at last inspection (and update)

This service has been in Special Measures since January 2018. 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.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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.

Inspection areas

Safe

Requires improvement

Updated 30 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 30 November 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 30 November 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 November 2019

The service was not always well-led.

Details are in our well-Led findings below.