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Inspection Summary


Overall summary & rating

Good

Updated 20 January 2017

This inspection took place on 19 December 2016 and was unannounced.

Becket House nursing home provides accommodation and support for people who require nursing and personal care and may have a range of social, physical and dementia care needs.

At the time of our inspection the provider confirmed they were providing support to 21 people.

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.

Staff had a good understanding of abuse and the safeguarding procedures that should be followed to report abuse. Staff were comfortable in raising concerns and felt that appropriate actions would always be taken.

People had risk assessments in place to enable to make sure that they were as safe as possible. Staff were confident that the risk assessments enabled them to support people in a positive and safe manner.

Staffing levels were adequate to meet people's current needs. There were a consistent amount of staff on duty and people told us they received the support they needed promptly.

The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.

Staff induction training and on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles. Staff were provided with the opportunity to gain qualifications and extra skills and knowledge within care.

People told us that their medicines were administered safely and on time. We saw that medication was stored securely and appropriately, and that regular audits took place. Only trained staff took part in the administration of medicines.

Staff were well supported by the registered manager and senior team, and had regular one to one

supervisions. The registered manager carried out regular observations of staff to ensure good practice.

People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met. People told us that staff spoke with them and gained their consent on a regular basis.

People were able to choose the food and drink they wanted and staff supported people with this. Fresh food was cooked and served to people either in communal areas or within their rooms.

People were supported to maintain their health. Health professionals visited the service as required, and people were supported to book and attend appointments outside of the service as needed.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Staff interacted with people in a positive manner, and had a good knowledge of the things people liked.

People were involved in their own care planning and were able to contribute to the way in which they were supported.

The service had a complaints procedure in place to ensure that people and their families were able to provide feedback about their care and to help the service make improvements where required.

The people we spoke with knew how to use it.

Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed.

Inspection areas

Safe

Good

Updated 20 January 2017

The service was safe.

Staff were knowledgeable about protecting people from harm and abuse.

There were enough trained staff to support people with their needs.

Staff had been safely recruited within the service.

Systems were in place for the safe storage and management of medicines.

Effective

Good

Updated 20 January 2017

The service was effective.

Staff had suitable training to keep their skills up to date and were supported with supervisions.

People could make choices about their food and drink and were provided with support if required.

People had access to health care professionals to ensure they received effective care or treatment.

Caring

Good

Updated 20 January 2017

The service was caring.

People were supported make decisions about their daily care.

Staff treated people with kindness and compassion.

People were treated with dignity and respect, and had the privacy they required.

Responsive

Good

Updated 20 January 2017

The service was responsive.

Care and support plans were personalised and reflected people's individual requirements.

People and their relatives were involved in decisions regarding their care and support needs.

There was a complaints system in place and people were aware of this

Well-led

Good

Updated 20 January 2017

The service was well led.

People knew the registered manager and were able to see her when required.

People were asked for, and gave, feedback which was acted on.

Quality monitoring systems were in place and were effective.