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Blackwell Vale Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 March 2020

About the service

Blackwell Vale is a nursing care home registered to provide personal and nursing care to up to 60 people. There were 45 people living at the home at the time of this inspection.

The home is set out over two floors in an older, purpose-built building. The first floor accommodated people who were living with dementia. The ground floor accommodated people who have general nursing and personal care needs.

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

At the time of this inspection there was no demonstration of competency checks and clinical support of nurses. Some nurses had not had any supervision or training over the past year. There were plans for improvement in this area.

People and relatives said the staff were very kind and caring. They felt the staff knew them very well and understood their preferences. People said they were treated with dignity and respect by all staff. They said staff were careful and sensitive when supporting them. People enjoyed the company of the friendly, welcoming staff.

People and relatives said this was a safe place to live. There were enough staff to meet people’s needs. Staff knew how to report any concerns and said these would be acted upon.

The home was clean and warm. Some areas needed redecoration and improved lighting. The home was not fully adapted to support people who were living with dementia. We have made a recommendation about this.

People’s needs were assessed to make sure their care could be provided. Staff worked well with other care professionals to support people’s health needs.

People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible and in their best interests; the policies and systems in the service upheld this practice.

People received personalised support that matched their individual preferences. There had been a period where there had been few activities but there were plans to improve this.

People and relatives commented positively on the open culture in the home and the approachability of the manager and staff.

There had been a gap in the management of the home for a period last year. The new manager was clear about the areas that needed attention and had plans to address them.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 20 February 2019). The service remains rated requires improvement. This service has been rated requires improvement for three consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to training and support for nurses at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the 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

Good

Updated 7 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 7 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 7 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 7 March 2020

The service was not always well-led.

Details are in our well-led findings below.