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Inspection carried out on 31 October 2019

During a routine inspection

About the service

The service is registered to accommodate up to 31 people and provides care and support for older people. The service is split over two floors which were all accessible by stairs or a lift. There were 27 people using the service at time of inspection.

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

People told us they felt safe living at Blenheim Care Home. The staff demonstrated a good understanding of how to meet people’s individual needs. People’s outcomes were known, and staff worked with people to help achieve these. People were supported and encouraged to maintain their independence and live their lives as fully as possible.

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

People were supported to maintain contact with those important to them including family and friends. Staff understood the importance of these contacts for people’s health and well-being. Staff knew people well and what made them individuals.

Staff had a good understanding of their roles and responsibilities and were supported to reflect on their practice and pursue learning opportunities. The staff team worked and got on well together demonstrating team work. They told us they were like one big family.

Quality and safety checks helped ensure people were safe and protected from harm. This meant the home could continually improve. Audits helped identify areas for improvement and this learning was shared with staff through handovers and meetings. The management of the home were respected.

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

Rating at last inspection

The last rating for this service was good (published 22 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 20 April 2017

During a routine inspection

Blenheim Care Home provides residential care for up to 31 older people, some of whom may be living with dementia. There were 27 people living in the home at the time of our inspection.

Accommodation is arranged over two floors, with a passenger lift to assist people to get to the upper floor. The home has 27 bedrooms, with all but two having en-suite facilities. The home had two gardens that were designed to accommodate people with mobility issues and provided a safe, secure area for people to enjoy.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

Is the service safe?

People were protected from potential abuse and avoidable harm by staff who were knowledgeable about recognising and reporting different signs of abuse. There were sufficient numbers of appropriately qualified staff available on each shift to ensure people were cared and supported safely. Risks to people were well managed and medicines were stored appropriately and managed effectively. People were protected by the prevention and control of infection.

Is the service effective?

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People had access to a variety of health care professionals who commented positively on the care and support given to people at the home. Staff received quality training which they found effective and useful. Staff were well supported with a clear system of supervision meetings and annual appraisals.

Is the service caring?

People and relatives told us they found the staff to be kind, caring, friendly and patient. Staff spoke knowledgeably about people and showed they knew how people preferred to be given their care and support. People were treated with dignity and respect and supported to make their own choices about how they spent their day. People’s privacy was respected.

Is the service responsive?

People received person centred care from a team of staff who knew them and their health needs well. People’s needs were re-assessed when their health needs changed and relatives were kept informed and included. There was a planned programme of interesting activities that enhanced people’s sense of well-being and prevented social isolation. People knew how to complain if they needed to and there was a clear complaints process available.

Is the service well led?

There was an open, honest, friendly culture and people told us they had confidence in the management team and the staff. People and their relatives were consulted and involved in their care and support. There was a programme of quality checks and audits to ensure the quality of the service was maintained.

Further information is in the detailed findings below

Inspection carried out on 2 and 3 March 2015

During a routine inspection

This was an unannounced comprehensive inspection carried out on 2 and 3 March 2015. Blenheim Care Home provides residential care for up to 31 people, some of whom may be living with dementia. There were 24 people living in the home during our inspection.

Accommodation is arranged over two floors and there is a passenger lift to assist people to get to the upper floor. The home has 27 bedrooms and all except two have en-suite facilities.

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.

We last inspected Blenheim Care Home in December 2013. At that inspection we found the service was meeting all the essential standards that we assessed.

People were protected from avoidable harm and abuse that may breach their human rights. Staff understood how the mental capacity act (MCA) and deprivation of liberty safeguards (DoLS) protected people to ensure their freedom was supported and respected. The MCA provides the legal framework to assess people’s capacity to make certain decisions, at a certain time. When people are assessed as not having the capacity to make a decision, a best interest decision is made involving people who know the person well and other professionals. DoLS provide legal protection for those vulnerable people who are, or may become, deprived of their liberty.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines safely.

People were supported by sufficient numbers of staff who had the knowledge, skills and experience to carry out their role. People told us that there were always staff available to help them when needed. Relatives of people who used the service told us that they visited the home at different times and on different days, and the staff always made them feel welcome. They said that staff were caring and treated people with respect, and that their relative was always comfortable and looked well cared for.

Staff were provided with relevant induction and training to make sure they had the right skills and knowledge for their role. Staff understood their role and what was expected of them. They were happy in their work, motivated and had confidence in the way the service was managed.

People had access to a range of health care professionals to help maintain their health. A varied and nutritious diet was provided to people that took into account their dietary needs and preferences so that their health was promoted and choices could be respected.

People told us they could speak with staff if they had any worries or concerns and felt confident they would be listened to.

We saw people participated in a range of daily activities both in and outside of the home which were meaningful and promoted independence.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to. People using the service and their relatives had been asked their opinion via surveys, the results of these had been audited to identify any areas for improvement.

Inspection carried out on 2 December 2013

During a routine inspection

There were 27 people accommodated at Blenheim House at the time of our inspection.

The mental and physical frailty of people living at the home meant that we were only able to speak with two of them. We therefore used a number of different methods to help us understand people’s experiences of living in the home.

We spoke with three relatives for their views about the home and the care and support their relatives received.

Where appropriate we observed the care and support people received. We looked at relevant documents and records. We reviewed a report from the local authority contracts department about the dementia care service provided by the home.

We also observed the day-to-day activities and working practices in the home and we spoke with four care staff about their work in the home.

The home had arrangements in place that ensured the dignity, privacy and independence of people was promoted.

Where possible people or their representatives were able to express their views about what was important to them in relation to their care and treatment.

People received the help, assistance, prompting or supervision they required in accordance with their individualised care plans.

The provider had arrangements in place that ensured people’s nutrition and hydration needs were met; there were enough staff on duty at all times with the skills and experience to meet people’s needs; the quality of the service people received was monitored; and risks to people’s welfare were identified and managed safely.

Inspection carried out on 28 January 2013

During a routine inspection

We were assisted during the inspection by the registered manager and three members of staff. At the time of our inspection there were 28 people living at Blenheim Care Home. We spoke with two people who lived there who were able to tell us about their experience of the home. We also spoke with five other people but owing to their condition they were only able to give a limited account of their experience. We also spoke with three visiting relatives.

People’s consent was sought about their care and support when people had capacity to give consent. Where people could not give consent we found that best interest decisions were made on their behalf in line with the Mental Capacity Act 2005. Relatives were involved in these decisions where appropriate.

People’s needs had been assessed and care plans put in place to support them. We found people’s mental health needs and physical needs were addressed appropriately.

Medication was managed safely in the home.

There were robust staff recruitment procedures in place to make sure that suitable people were appointed to work at the home.

Blenheim Care Home had a complaints system in place. Complaints were responded to in line with the home’s policy.

Inspection carried out on 22 July 2011

During a routine inspection

A majority of the people were able tell us what it was like to live at the home. Comments from people about the home included; �It�s all ok here, the care is very good�, �it�s a very nice place to live, it�s a home from home� and �It�s marvellous here�.

We also observed the interactions between staff and people who due to their memory loss or dementia were not able to tell us about their experience.

People told us that they are involved in directing their care and support.

Staff had good relationships with the people and they were patient and encouraging. Staff gave people appropriate reassurance when they seemed unsure or anxious. People chose where to spend their time and moved freely about the home. We observed staff and people laughing and having fun together and observed genuine warmth between people and staff.

People spoke very highly of their relationship with staff and felt that they knew them well. One person said �I know most of their names and know all of their faces�; another said �everybody is helpful and very kind�.

We observed lunchtime and people told us that they enjoy the food at the home. Staff supported people to eat sensitively, discretely and at their pace. One person aid �I�m never hungry�, another said �The food is tasty�.