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Inspection Summary


Overall summary & rating

Good

Updated 7 November 2017

This unannounced comprehensive inspection took place on 18 and 19 September 2017. The last inspection took place on 19 May 2015. Selkirk House was meeting the requirements of the legislation at this time and was given an overall rating of Good.

Selkirk House Residential Home is a care home which offers care and support for up to 42 predominantly older people. At the time of the inspection there were 39 people living at the service. Some of these people were living with dementia.

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 inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to an investigation and as a result this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of falls. This inspection examined those risks. We found these were being managed well.

We found the risks surrounding this incident were actioned immediately to help keep people safe, this involved changing how fire doors were accessed by people using the service.

At this inspection we found the service remained Good in all areas.

Why the service is rated good.

One person said; “I feel safe and very well cared for here”, “I can’t complain about the care - it’s exceptional” and “The staff are lovely and last week […] (naming the registered manager) brought me flowers”. Another said; “It’s a very caring place, with lovely carers.” One person said; “I need help only with dressing and undressing and the times this happen each day are set to suit me – it’s wonderful”.

People remained safe at the service because they received their medicines safely. People, relatives, professionals and staff told us there were sufficient staff to meet people’s needs. Risk assessments were completed to enable people to retain their independence and receive care with minimum risk to themselves or others. People were protected from the spread of infections as staff were aware of infection control procedures. Safe recruitment procedures were followed before new staff began working in the service.

People continued to receive care from staff who had the skills and knowledge required to effectively support them. Staff were well trained and competent. 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's healthcare needs were monitored by the staff and people had access to healthcare professionals according to their individual needs.

People said the staff were kind and very caring. One person said; “I find all the staff very caring, they all seem to know me so well” and “I am very well cared for, the staff here are exceptionally kind and caring.” There was a busy but calm atmosphere in the service. People's privacy was respected. People where possible, or their representatives, were involved in decisions about the care and support people received. People had their end of life wishes documented and staff had received end of life care training to support people.

The service remained responsive to people's individual needs. Care and support was personalised to each person which ensured they were able to make choices about their day to day lives. Complaints were fully investigated and responded to. A relative said; “I know any concerns I have are sorted straight away.”

People were assisted to take part in a wide range of activities according to their individual interes

Inspection areas

Safe

Good

Updated 7 November 2017

The service remains Good

Effective

Good

Updated 7 November 2017

The service remains Good

Caring

Good

Updated 7 November 2017

The service remains Good

Responsive

Good

Updated 7 November 2017

The service remains Good

Well-led

Good

Updated 7 November 2017

The service remains Good