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Court House Residential Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 18 December 2019

About the service

Court House is a care home providing personal care to a maximum of 29 older people. They provide care and support for frail older people and those people living with dementia. It does not provide nursing care. Court House is the main building with an attached annexe; there is also a separate building called The Cottage. The Cottage has its own sitting and dining room, and a kitchen that can be used by the people living there. The Cottage, which is based in the grounds of the care home accommodates six people. There were 26 people living at the service during this inspection. The provider had just completed an extension to the home of four further bedrooms and a café. They had applied to register these extra bedrooms with the Care Quality Commission and were awaiting registration.

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

People lived in a service that kept them safe. Staff understood their responsibilities to protect people from abuse and discrimination. They knew to report any concerns and ensure action was taken.

There were sufficient staff to meet people’s needs and they had been recruited safely. Medicines were safely managed. There were appropriate control of infection processes in place which meant people lived in a home which was clean although some areas were a little tired and in need of redecoration. There were checks and audits in place to protect people from the risks of unsafe and unsuitable premises.

The provider was working to ensure staff received the appropriate training. They had recently changed training provider and were working with staff to complete all the mandatory training and refreshers where required.

People at Court House were supported by staff who knew them well. They were attentive, caring and kind. They demonstrated compassion and were sensitive and reassuring in their manner. The atmosphere at the home was calm and welcoming with people living there appearing ‘at home’.

People were provided with personalised care which was centred around them as individuals. People had been assessed prior to going to the home and had a care plan in place with relevant assessments completed, from initial planning through to on-going reviews of care.

People’s social needs were met, they enjoyed a variety of social activities which included in house activities and entertainers, trips out, social events and family visits.

People were very positive about the staff and the management team and said they were treated with dignity and respect. People’s, relatives’, staff and professionals’ views were sought, and opportunities were taken to improve the service. Staff were supervised, supported and were clear about their roles and responsibilities.

People were supported to eat a nutritious diet and were encouraged to drink enough to keep them hydrated. People and relatives said they liked the food and could make choices about what they had to eat.

People were supported to access healthcare services. Staff worked closely with health professionals, including the GP and community nurses and referred people promptly.

People were supported to have maximum 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. Staff ensured people living with dementia had given consent or received care in their best interests in line with current legislation.

People knew how to make a complaint if necessary. They said if they had a concern or complaint they would feel happy to raise it.

Staff worked closely with local health professionals and together they ensured appropriate medicines were available for people nearing the end of their life, to manage their pain and promote their dignity. Procedures were in place for people to identify their wishes for their end-of-life care. This included any wishes they had for receiving future treatment or being resuscitated.

The service continu

Inspection areas

Safe

Good

Updated 18 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 18 December 2019

The service was well-led.

Details are in our well-Led findings below.