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Nevilles Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 October 2019

About the service

Neville’s Court is a residential care home for up to three adults living with a neurological, learning and physical disability. At the time of inspection three people were living at the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Communication between the management team and the care staff at the service was poor. Staff were unsure of their roles and responsibilities which resulted in tasks not being completed. Some training had been allowed to lapse, training records were not maintained, supervisions had not taken place and medicines were not always managed safely at the service.

The management team had identified some failures in the management of medicines along with staff training and had started to address these matters.

Relatives and people we spoke with were happy with the service. One person told us, “It’s great here.”

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The provider ensured people had a safe environment. Health and safety checks were regularly undertaken. A robust recruitment procedure was in place which included ensuring appropriate checks were undertaken before staff started work. Staff were knowledgeable about safeguarding and what action they should take if they suspected abuse was taking place. Systems were in place to learn from safeguarding concerns and accidents and incidents.

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.

Staff understood and applied the principles of the Mental Capacity Act (MCA), and were aware of people’s rights when they could not consent themselves. People were supported to access independent advocates.

People had enough to eat and drink and were supported to have choice in what they ate and drank. Staff promoted people to maintain a healthy diet.

People received person-centred care and were supported by staff who knew them well. Relatives told us they were regularly consulted and involved in the family member’s care discussions.

Relatives were complimentary about the care staff team. They told us staff were kind and respectful. Staff told us they worked as a team and were supportive of each other. The service worked with external healthcare professionals to support and maintain people’s health.

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

Rating at last inspection

The last rating for this service was requires improvement with one breach of regulation relating to good governance, (Published on 07 December 2018). At this inspection we found improvements had not been made or sustained and the provider remained in breach of regulation relating to good governance and a further breach was found in regulation regarding safe

Inspection areas

Safe

Requires improvement

Updated 15 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 15 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 October 2019

The service was not always well-led.

Details are in our well-led findings below.