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Inspection Summary


Overall summary & rating

Good

Updated 11 April 2017

Valley Court is registered to provide accommodation for 69 people who require nursing or personal care. People who live there have health issues related to old age.

This inspection of Valley Court took place on 1 March 2017 and was unannounced. At the time of our inspection 66 people were using the service. At our last inspection in August 2016 we found the provider was meeting all the regulations but we identified that some areas in the key questions of safe and well-led required improvement. We found on this, our most recent inspection; the provider had made the necessary improvements in relation to the issues we previously identified.

The service 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.’

Recruitment practices in relation to criminal records checks were not consistently undertaken in line with the Health and Social Care Act regulations. Staff understood their responsibility to protect people from the risk of abuse and appropriate action was taken in response to any incidents. Risks to people's health and safety were regularly assessed and action taken to reduce the risks. Staff were organised and well deployed and were available in sufficient numbers to meet people's needs in a timely manner. People received their medicines when they needed them and medicines were in the main stored and administered appropriately.

Staff were well supported by the provider in relation to the level of supervision and the quality of the induction provided to them. Systems in place ensured people were not deprived of their liberty unlawfully. People were supported to provide consent for the care they received. Staff were provided with relevant training to effectively meet people's needs. People had access to a good range of food and drink. People were supported to access a range of healthcare services.

There were caring and friendly relationships between staff and the people living at the home. People made decisions about how they lived their lives and staff enabled them to achieve these. People were treated with dignity and respect by staff and their right to privacy was upheld.

People felt that care was person-centred and staff responded well to any changes in people's needs. People’s diversity was embraced and met with sensitivity. Care plans provided up to date and relevant information about people's support needs. Activities were provided that were in line with people’s likes and preference’s. People felt comfortable raising concerns or making a complaint and knew how to do so.

There was an open and transparent culture at the home, people and staff felt comfortable speaking up if they wanted to. The registered manager ensured that staff were provided with clear leadership. People were able to provide their opinion on the quality of the service through surveys, suggestions and meetings. Effective quality monitoring systems were in place and areas requiring improvement were acted upon accordingly.

Inspection areas

Safe

Requires improvement

Updated 11 April 2017

The service was not consistently safe.

Recruitment systems were not operated in line with the law and meant that potentially people employed may not be safe to work with people at the home.

People were kept safe and staff knew how to identify potential signs of abuse.

Systems were in place for staff to identify and manage risks and respond appropriately when accidents and incidents occurred.

Effective

Good

Updated 11 April 2017

The service was effective.

Staff received an appropriate level of induction, training and supervision.

People’s rights were protected in line with the Mental Capacity Act 2005.

People’s nutritional needs were well catered for and understood by staff.

Caring

Good

Updated 11 April 2017

The service was caring.

People enjoyed positive and caring relationships with the staff.

People were able to be involved in making decisions about their care and their choices were always respected.

People's privacy and dignity was maintained.

Responsive

Good

Updated 11 April 2017

The service was responsive.

People received personalised care that met their preference’s and was responsive their diverse needs.

People were supported to follow their interests and take part in social activities.

Complaints and concerns were taken seriously and acted upon.

Well-led

Good

Updated 11 April 2017

The service was well-led.

The provider and registered manager acted to address issues identified to them regarding the quality or safety of service provision.

There was an open, transparent and friendly culture in the home.

People and their relatives were involved or had opportunities to be involved in the development of the service.