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Inspection Summary


Overall summary & rating

Good

Updated 2 November 2019

About the service

North Court Care Home provides accommodation, nursing and personal care for up to 65 older people, some of whom are living with dementia. The home is arranged over two floors: Abbey on the ground floor provides residential care and Edmund on the first floor on the provides nursing care based on people’s needs and requirements. At the time of our inspection there were 52 people who used the service.

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

Whilst staff demonstrated an understanding of people’s individual needs and how to meet them, we found shortfalls with the care planning documentation and record keeping in the home. Improvements were needed to people’s care records to inform staff on the personalised care and support required. Action was being taken by the home to address the inconsistencies, but this was a work in progress and at the early stages of implementation, so we were unable to assess its effectiveness.

People were treated with kindness, respect and compassion and their privacy and dignity respected. People and their relatives described positive relationships with the staff and management team. People were encouraged and enabled to pursue their hobbies and participate in activities of their choice. There was a welcoming atmosphere in the home.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff were aware of risks to people’s safety and knew how to respond appropriately through safeguarding processes. People had access to healthcare services and appropriate referrals made when their needs changed.

Staff deployment and organisation across the home was effectively managed. Since our last inspection there was less reliance on agency use and this had led to continuity of care and a settled workforce.

Staff felt supported by the registered manager and enjoyed their job, the training was relevant to meet people’s needs and they were encouraged to professionally develop. The home was clean and hygienic throughout and safe management of medicines was in place.

A programme of works was underway to improve the environment for the people who lived there and to ensure their individual needs were met. Feedback from people, relatives and the staff were sought, and opportunities taken to improve the home.

The registered manager was held in high regard and there was visible leadership in the home. Quality assurance and risk management systems to independently identify issues or to improve the service were in place which supported effective governance and oversight arrangements.

We were encouraged with the improvements made since the last inspection and the steps being taken by the senior management team to address the inconsistencies with records. Therefore, the overall rating of the home has improved to good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 06 September 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Inspection areas

Safe

Good

Updated 2 November 2019

The service was safe

Effective

Good

Updated 2 November 2019

The service was effective

Caring

Good

Updated 2 November 2019

The service was caring

Responsive

Requires improvement

Updated 2 November 2019

The service was not always responsive.

Well-led

Good

Updated 2 November 2019

The service was well-led.