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Inspection Summary


Overall summary & rating

Good

Updated 11 January 2018

The inspection took place on 7 December 2017 and was unannounced.

Paisley Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Paisley Court is a purpose built fully adapted service registered to accommodate up to 60 people who require nursing or personal care. The service specialises in providing nursing care to older people with age related conditions including dementia. The service is divided into four units spread over two floors, with access to the upper floor via stairs and a lift. There is a car park to the front of the building and gardens to the rear.

At the last inspection on 11 November 201610 the service was rated Good. At this inspection we found the service remained Good.

At the last inspection we identified a breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because appropriately trained staff were not always deployed in sufficient numbers to meet people’s needs. At this inspection we found improvements had been made and the breach was met.

There were enough trained and experienced staff on duty at all times to care for people.

The service was relaxed and homely and people could move freely around the service as they chose. People were supported to have maximum choice and control over their lives and encouraged to remain independent.

People’s individual needs had been assessed and used to develop care plans. These provided staff with guidance about the care and support people needed and how they wanted this to be provided.

People and their relatives were consulted about their care to ensure wishes and preferences were met. People chose how to spend their day and they took part in a wide range of activities they enjoyed. Visitors were welcomed at any time.

People received a varied and nutritional diet that met their preferences and dietary needs.

People were supported by a kind, caring and consistent staff team who knew them well. Staff had been recruited safely and had the skills and experience to meet people’s needs and provide effective care.

People received their medicine safely and were supported to access the support of health care professionals when needed. People were protected from the risk of abuse because staff understood how to identify and report it.

Staff considered peoples capacity using the Mental Capacity Act 2005 (MCA) as guidance. The provider was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

The management team were approachable and they and the staff team worked in collaboration with external agencies to provide good outcomes for people. Relatives felt concerns would be taken seriously and acted on. Processes were in place to assess and monitor the quality of the service provided and drive improvement.

Inspection areas

Safe

Good

Updated 11 January 2018

The service was safe.

The provider used safe recruitment practices and there were enough skilled and experienced staff to ensure people were safe and cared for.

Staff understood their responsibilities in relation to protecting people from harm and abuse.

Potential risks were identified, appropriately assessed and planned for.

Medicines were managed and administered safely.

The equipment and environment were well maintained, clean and hygienic.

Effective

Good

Updated 11 January 2018

The service remained Good.

Caring

Good

Updated 11 January 2018

The service remained Good.

Responsive

Good

Updated 11 January 2018

The service remained Good.

Well-led

Good

Updated 11 January 2018

The service remained Good.