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Inspection Summary


Overall summary & rating

Good

Updated 18 December 2018

The inspection was unannounced and took place on 20 November 2018.

Blenheim House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to provide accommodation with personal care for adults for a maximum of 15 people. There were 14 people living at the home on the day of the inspection.

There was a registered manager in post. 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 our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to feel safe living at the home and that staff supported them to maintain their safety. Staff told us about how they minimised the risk to people’s safety and that they would report any suspected abuse or the risk of abuse to the management team. People got the help needed with staff offering guidance or support with their care that reduced their risk of harm.

There were staff available to meet people’s needs or answer any requests for support in a timely way. Care staff had time to spend time socially with people or offering and encouraging activities.

People continued to receive their medicines from staff who managed their medicines in the right way. People also felt that if they needed extra pain relief or other medicines as needed these were provided. Staff wore protective gloves and aprons to reduce the risks of spreading infection.

People were involved in planning their care, which included end of life planning where required. People’s care plans were accurate and had up to date information about their current care needs.

People told us staff knew their care and support needs. Staff told us they understood the needs of people and their knowledge was supported by the training they were given. Staff knowledge reflected the needs of people who lived at the home. People told us staff acted on their wishes and their agreement had been sought before staff carried out any care or support.

People were supported to have 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. People who lack mental capacity to consent to arrangements for necessary care or treatment can only be deprived of their liberty when this is in their best interests and legally authorised under the MCA. The procedures for this in care homes and hospitals are called the Deprivation of Liberty Safeguards (DoLS).

People told us they enjoyed their meals, had a choice of the foods they enjoyed and were supported to eat and drink enough to keep them healthy. People had access to other healthcare professionals that provided treatment, advice and guidance to support their health needs.

People told us they enjoyed spending time with staff who respected their privacy and dignity was maintained with staff support. People’s day to day preferences were listened to by staff and people’s choices and decisions were respected. Staff told us it was important to promote a person’s independence and ensure people had as much involvement as possible in their care and support.

People were aware of who they would make a complaint to if needed. People told us they were happy to talk throu

Inspection areas

Safe

Good

Updated 18 December 2018

The service remains good.

Effective

Good

Updated 18 December 2018

The service remains good.

Caring

Good

Updated 18 December 2018

The service remains good.

Responsive

Good

Updated 18 December 2018

The service remains good.

Well-led

Good

Updated 18 December 2018

The service remains good.