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Inspection Summary


Overall summary & rating

Good

Updated 10 October 2017

Brendoncare Knightwood is registered to provide accommodation and support for up to 20 people. It is a self-contained unit within a larger close care centre with 30 two bedroom apartments and seven bungalows. Until December 2015 Brendoncare Knightwood provided intermediate care for people discharged from hospital to enable them to have a short term rehabilitation service before they returned to their own homes. The service was registered to provide nursing care. During December 2015 the service changed its purpose and name and became a care home without nursing. When we inspected there were 17 people permanently in residence and two people were receiving short term care.

The service is now known as ‘The Court’ and so this will be the term used throughout this report.

The inspection took place on 7 August 2017 and was unannounced. A further announced visit took place on 11 August 2017 to complete the inspection.

We last visited in February 2016. We said at that time the service required improvements. We identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. There was not always sufficient staff on duty at the weekends or during the night to meet people's needs in a timely way. Staff were unable to demonstrate they were applying prescribed topical creams as directed which put people at a risk of being

uncomfortable or of their health deteriorating and people were not provided with activities which reflected their personal preferences and interests. The provider sent in an action plan following this inspection to describe how they were going to improve. At this inspection we found the required improvements had been made and we rated the service as Good.

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. The registered manager had helped to add stability and consistency to the service and led by example by being approachable and by listening and acting on people’s views.

At this inspection we found the service was supporting people safely, effectively and in a caring manner. Staff were kind and caring. Staff respected people's preferred routines and activities provided were geared towards people's needs and interests.

People were protected from abuse and avoidable harm. Risk to people's health and welfare were managed appropriately. Environmental risks were regularly considered and managed well.

There were generally sufficient numbers of suitably trained and safely recruited staff to meet peoples' needs. Staff received appropriate training and support.

The service worked well with health care professionals and followed their guidance when they needed support with people's health care needs.

People liked the food and were supported to have a diet which suited their needs and preferences. Staff ensured they sought consent before supporting people with their care and adhered to the Mental Capacity Act 2005.

People were given information about what the service could offer and staff were able to provide appropriate support because people's needs were clearly assessed and updated when a change had taken place. Care records contained a lot of information about what was important to people and their wishes and preferences. Staff knew what people’s preferences were which helped to ensure the care provided was personalised to suit them.

People were encouraged to provide feedback about the quality of the service and complaints were responded to quickly. Robust quality assurance processes helped to ensure the service maintained good standards which met people's needs and expectations.

Inspection areas

Safe

Good

Updated 10 October 2017

The service was safe.

People were safely cared for by a sufficient number of suitably recruited staff.

Environmental risk and risk to people’s health and welfare were assessed and action was taken where necessary to reduce the risk of people coming to harm.

Staff followed safeguarding policies and procedures where necessary to protect people.

Medicines were safely managed.

Effective

Good

Updated 10 October 2017

The service was effective.

Staff received the training they needed to do their job, were well supported and had regular supervision.

People were provided with food and drink of a good quality which met their individual needs.

Staff worked well with health care professionals to ensure people received timely interventions to maintain their health.

People's rights were protected because staff acted in accordance with the Mental Capacity Act 2005. The principles of the Deprivation of Liberty Safeguards were understood and applied correctly.

Caring

Good

Updated 10 October 2017

The service was caring.

Staff treated people with kindness and respect.

People were cared for in the way they wanted and were encouraged to make decisions about their care.

The service provided sensitive and compassionate care when people were nearing the end of their lives.

Responsive

Good

Updated 10 October 2017

The service was responsive.

People were looked after in the way they liked and received the care they needed.

People were able to participate in a range of meaningful social activities.

Complaints were taken seriously and acted upon.

Well-led

Good

Updated 10 October 2017

The service was well led.

The registered manager provided good leadership and management for the staff team and was well respected.

There were systems in place to assess and monitor the quality and safety of the service.