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The Old School House and Courtyard Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 April 2021

About the service

The Old School House and Courtyard Nursing Home is a residential care home which was providing personal care and support to 30 people aged 65 and over at the time of the inspection. The service can support up to 42 people.

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

The provider had failed to ensure fire safety risks were resolved in a timely manner. Risks to people’s safety and wellbeing were not always identified, managed and effectively monitored. These shortfalls placed people at risk of harm.

Robust quality assurance systems were not always in place or effectively operated. Shortfalls had not been identified or promptly addressed which placed people at risk of receiving a poor-quality service. The management team was inconsistent and there was a lack of oversight from the provider.

Regular changes in the management team had led to low staff morale. Staff were kind and caring and had a positive attitude when supporting people. Relevant professionals were contacted to ensure people’s healthcare needs were met.

Staff ensured people lived in a clean and tidy environment. Infection prevention and control measures followed government guidance. However, on one occasion isolation processes were not fully followed.

People’s medicines were administered safely. Staff were trained in safeguarding adults and concerns had been appropriately reported. Action was taken following accidents and incidents to reduce the risk of them happening again. There were enough staff to meet people’s needs safely and in a timely manner.

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 service supported this practice.

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

Rating at last inspection

The last rating for this service was good (published 19 February 2020).

Why we inspected

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We found there was a concern with governance systems, so we widened the scope of the inspection to become a focused inspection, which included the key questions of Safe and Well-led. No areas of concern were identified in the other key questions, therefore we did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. Please see the Safe and Well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Old School House and Courtyard Nursing Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to risk monitoring, record keeping and addressing quality shortfalls at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve

Inspection areas

Safe

Requires improvement

Updated 17 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 17 April 2021

Caring

Good

Updated 17 April 2021

Responsive

Good

Updated 17 April 2021

Well-led

Requires improvement

Updated 17 April 2021

The service was not always well-led.

Details are in our well-led findings below.