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Palm Court Nursing Home Requires improvement

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Inspection report

Date of Inspection: 30 April 2014
Date of Publication: 2 July 2014
Inspection Report published 02 July 2014 PDF | 96.13 KB

Overview

Inspection carried out on 30 April 2014

During a routine inspection

We carried out this inspection to look at the care and treatment that people living at the home received. At the last inspection on 15 October 2013 we found that there were inconsistencies in the care plans and associated documentation and that appropriate infection control systems were not in place. We found at this inspection that some minor improvements had been made, but there continue to be concerns about the services provided.

We spoke with ten of the people who lived at the home. However, some people were not able to tell us about their experiences of living at Palm Court, because of their complex needs. People told us they were very comfortable and that the food was good. One person said, �I am happy I moved in�.

We spoke with two relatives, five care staff, the cook, three housekeeping staff, the deputy manager and the provider. We reviewed four care plans and associated documentation; we looked at the systems in place for the control or infection, staff rotas and the processes used to assess and monitor the services provided.

We considered our inspection findings to answer questions we always ask:

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well-led?

Is the service safe?

We found that during our inspection the service was safe. Relatives we spoke with told us they felt people who lived at the home were safe. Staff felt they provided care and support in a way that ensured people's safety, although they also recognised that this limited some people's choices..

Systems were in place to ensure the management and staff learned from events, such as incidents and concerns, and some of the issues identified at the last inspection had been addressed.

Is the home effective?

We found that during our inspection the service was not effective. People�s health and social care needs had been assessed, and they had been involved in this process, with the support of relatives or representatives. However, the support and care provided was not always based on people's choices and preferences, and may not meet people's individual needs.

Is the service caring?

We found that during our inspection that the service was caring. We saw that people were supported by kind, patient staff, who encouraged some people to make decisions about how they spent their time.

Is the service responsive?

We found that during our inspection that the service was responsive. We saw evidence that when people�s needs had changed, the manager had made appropriate referrals to outside agencies.

Is the service well-led?

We found during our inspection that the service was not well led. An effective quality assurance system was not in place, consequently shortcomings in the services provided were not identified and acted upon.

Staff we spoke with were clear about their roles and responsibilities. They had some understanding of the needs of people who lived at the home and they said they were able to talk to the management if they had any concerns. They also said that these concerns were not always addressed.