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Time Court Residential and Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 26 November 2016

This comprehensive inspection took place on 20 October 2016 and was unannounced. At the last inspection in November 2013 the provider was meeting the regulations in all the areas we looked at.

Time Court is a residential home that provides accommodation and personal care for up to 56 people. The service comprises of five units, including a nursing unit and an intermediate care unit. At the time of our inspection there were 41 people using the service.

There was a registered manager in place who had been registered manager at the home for three years. 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.

At this inspection we found that people were protected from the risk of abuse because staff had received safeguarding training and were aware of the action to take if they suspected abuse had occurred. The provider undertook checks on staff before they were employed to ensure their suitability for the roles they were applying for. There were sufficient staff on duty to meet people’s needs. Risks to people had been assessed and where risks had been identified, action had been taken to reduce the level of risk. People’s medicines were managed safely.

Staff were supported in their roles through training, supervision and an annual appraisal of their performance. They were aware of the importance of seeking consent from the people they supported and the service acted in accordance with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) where appropriate. People were supported to maintain a balanced diet and had access to a range of healthcare services when needed.

People were treated with kindness and consideration by staff. Staff respected people’s privacy, and people were consulted about their care and treatment. People had care plans in place which were person centred and reflected their individual needs and preferences. They were aware of how to raise a complaint and told us they were confident the registered manager would address any concerns they raised appropriately.

People, relatives and staff told us the service was very well run and spoke very highly of the registered manager. The service achieved very positive outcomes for people. The service had a clear set of values in place which staff were committed to delivering. The provider and registered manager demonstrated an excellent commitment to developing staff and made innovations to service provision in response to people’s feedback. People were empowered to be involved in the day to day running of the service. The provider had quality assurance systems in place which helped identify issues and drive continuous improvements within the service.

Inspection areas

Safe

Good

Updated 26 November 2016

The service was Safe.

People were protected from the risk of abuse because staff were aware of the action to take if they suspected abuse had occurred.

Risks to people had been assessed, and action taken to manage risks safely where they had been identified.

The provider undertook pre-employment checks on new staff before they started work to ensure they were suitable for the roles they were applying for. There were sufficient staff on duty to meet people's needs.

Medicines were managed safely.

Effective

Good

Updated 26 November 2016

The service was Effective.

Staff were supported in their roles through training, supervision and an annual appraisal of their performance.

Staff sought consent from people when offering support and respected their wishes. The provider acted in accordance with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) where appropriate.

People were supported to maintain a healthy balanced diet.

People were supported to access a range of healthcare services when needed.

Caring

Good

Updated 26 November 2016

The service was Caring.

People were treated with kindness and compassion.

People were consulted about their care and treatment and involved in day to day decisions about the support they received.

Staff treated people with dignity and respected their privacy.

Responsive

Good

Updated 26 November 2016

The service was Responsive.

People received care and support which met their individual needs and preferences. They were involved in regular discussions about their care planning to ensure it reflected their current views.

There were a range of activities for people to attend in support of their need for social interaction and stimulation.

The provider had a complaints policy and procedure in place. People knew how to raise concerns and expressed confidence that any issues they raised would be addressed.

Well-led

Outstanding

Updated 26 November 2016

The service was exceptionally well-led.

People, relatives and staff all spoke very highly of the registered manager.

Staff demonstrated a commitment to delivering the provider's values.

The provider had quality assurance systems in place to identify issues and drive improvements.

People were empowered to be involved in the day to day running of the service. The provider and registered manager acted on people's feedback to improve service provision.