Court House Residential Home

Updated 13 April 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by an inspector.

Service and service type

Court House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Court House Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. They had been at the service since 2017.

Notice of inspection

This inspection was announced.

What we did before the inspection

We contacted the service to inform they we were undertaking an inspection and requested information to be sent to us. We asked the provider to display/share a poster with people, families, and staff so they could share their views.

We reviewed this and information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We met 14 people who use the service and spoke with 3 people to ask their views and received two relatives’ feedback in response to our poster.

We spoke with the registered manager, deputy manager, senior care staff, care staff, the activity person, housekeeping, cook and kitchen assistant. We also spoke with one of the provider's.

We looked at the care records for 2 people. We checked the care they received matched the information in their records. We looked at the provider’s new electronic medicine records.

We contacted 3 health and social care professionals to ask their views and received a response from 1 of them.

Updated 13 April 2023

About the service

Court House Residential Home Care Home is a detached house set it its own grounds situated in the market town of Cullompton. The service is registered to provide care and accommodation for up to 33 people. They provide care and support for frail older people and people living with dementia. There were 30 people living at the service when we visited. One of these people was staying for a period of respite.

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

People were kept safe and protected from the risk of abuse.

People's risks were assessed and monitored. People told us there were enough staff working at the service and recruitment processes were robust.

A new medicines system was being managed in a safe way.

Lessons were learned when things went wrong as incidents were recorded and actions completed to keep people safe.

Infection control practice followed national guidance and sought to keep people safe from infection. The provider had followed all Government guidance throughout the Covid-19 pandemic to support people to stay connected to friends and family.

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. People's choices were respected, and decisions made in their best interests but not always formally recorded.

The service was well led. The home's culture was person-centred, open, friendly and inclusive. The registered manager and deputy manager led by example to make sure people received care which met their individual needs and wishes.

The registered manager understood duty of candour and fulfilled the service's regulatory requirements.

People, relatives, and staff were able to be engaged and involved with the service through meetings, surveys and providing feedback.

There were quality assurance systems so care could be monitored and improved.

The service worked with other agencies to the benefit of people using the service.

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 good (published 18 December 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We undertook a focused inspection to review the key questions of safe and well led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Court House Residential Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.