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Archived: Sabourn Court Care Home Requires improvement

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Reports


Inspection carried out on 29 September 2015

During a routine inspection

This was an unannounced inspection carried out on 29 September 2015. Our last inspection took place on 4 April 2013 and found that the provider was compliant in all but one standard which was infection control. We carried out a focused inspection on 5 September 2013 specifically to look at infection control and found that the provider met this standard.

Sabourn Court provides accommodation and nursing care for up to 49 older people. The home is comprised of two buildings, namely Oakwood House and Park House. It is located close to local amenities and is accessible by public transport.

At the time of this inspection the home had a registered manager. 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.

People who we spoke with felt safe using this service. Staff had received training in safeguarding and were able to demonstrate their knowledge in this area.

People’s care plans contained sufficient and relevant information to provide consistent, person centred care and support. We found people had access to healthcare services and these were accessed in a timely way to make sure people’s health care needs were met. The medication system was well managed and people received their medicines at the right times.

Recruitment processes were not always robust as thorough checks were not always completed before staff started work to make sure they were safe and suitable to work.

The provider did not have a way of assessing overall staffing levels for the service. Both people using the service and staff members told us there were insufficient numbers of staff whilst building works were taking place.

Staff were able to demonstrate an understanding of the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards, although some mental capacity assessments had not been fully completed.

On the day of our visit we saw people looked well cared for. We saw staff speaking calmly and respectfully to people who used the service. Staff demonstrated they knew people’s individual preferences and what they needed to do to meet people’s care needs. Staff demonstrated they respected people’s privacy and dignity.

We saw people received adequate nutrition and hydration. They had access to a wide variety of meal choices, although people had different experiences regarding the quality of food.

Complaints were not responded to in accordance with the provider’s policy and the results from the last survey for people living in the home had not been analysed by the provider. We saw there was support from the provider who carried out regular audits.

Inspection carried out on 5 September 2013

During a routine inspection

We carried out this inspection to assess improvements for non-compliance of infection control standards identified in an inspection on 4 April 2013. We reviewed evidence and spoke with staff and carried out a tour of the premises. We found there were effective systems in place for managing infection prevention and control in the home.

Inspection carried out on 4 April 2013

During a routine inspection

During our visit we spoke with six people who used the service and their relatives who told us the home was very nice and they felt comfortable. During our inspection we saw that people received good care and that staff treated them with respect. People told us they felt there were enough staff on duty to meet their needs and the manager was very approachable.

The provider had systems in place to assess and monitor the standards at the home and action plans showed they address items that came to their attention. Meetings had been held with the people who lived at the home and they were asked for their opinion on the services they received.

The provider had an infection control policy and system in place. Some auditing of infection control had been undertaken but processes were not robust enough and left gaps which created risks for the people who used this service from health care associated infection.

Inspection carried out on 15 June 2012

During a routine inspection

People we spoke with said they enjoyed living at the home and were very satisfied with the care and support they received. Comments included: “The staff are kind and lovely with everyone”, “I like living here” and I get on really well with the manager and staff.”

People’s relatives we spoke with said they were involved in making decisions about their relative’s care, their comments included: “Brilliant with mum great staff”, “Staff keep you informed about any changes and they involve us in the care.

Reports under our old system of regulation (including those from before CQC was created)