About the service: Madelayne Court is a residential care home that provides personal care for up to 112 older people with a physical or sensory impairment and people with dementia. At the time of the inspection, there were 110 people living at the service. People’s experience of using this service:
Overall, people were satisfied with the service they received. However, we received mixed feedback in relation to the availability and quality of the time staff spent with people and the quality and choice of meals available.
We recommended that the provider look at good practice guidance about the quality of staffing levels, offering a choice of meals whilst awaiting the new supplier and review people’s needs in relation to their social isolation.
Risk was well managed at the service. Measures were put in place to keep people safe and risks were balanced so that people had freedom and independence. Staff knew what to do if they had concerns for a person’s safety.
Staff were safely recruited and had the necessary skills to meet people's needs. Training and checks of staff competency were in place.
Staff worked well along with external professionals to maintain people’s physical and emotional wellbeing.
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.
Care plans were clear and written in a respectful person centred way. Care was reviewed and adjusted when changes happened. People were supported to take part in pastimes and interests, however these were restricted due to the staffing levels.
People were given empathy, consideration and respect. Their privacy was protected, and they were treated in a dignified way.
The registered manager and staff worked well with professionals and families to ensure people receiving good end of life care and support.
There was an established management team and a number of long-standing staff who knew people well. The registered manager promoted an open culture where people and staff felt able to have a say in the service. The registered manager developed positive links with external agencies and used feedback to learn from incidents and accidents.
Rating at last inspection:
The last report was a responsive inspection we undertook due to concerns raised. We inspected the service on 5 December 2017 and looked at two key questions Safe and Well led and found the service to be Good in both questions.
Why we inspected:
This was a planned comprehensive inspection based on the rating at the last inspection.
Follow up:
We will continue to monitor Madelayne Court to ensure people receive care which meets their needs. We plan our inspections based on existing ratings and on any new information which we receive about each service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk