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Inspection Summary


Overall summary & rating

Good

Updated 10 November 2017

Britten Court is a care home registered to provide care to 80 older people, some of whom may be living with dementia. The service is registered to provide nursing care. The service is split into four units, two providing nursing care and the other two providing residential and dementia care.

At the last inspection on 19 May 2016, we asked the provider to take action to make improvements to the service. These included improvements to the staffing level, the personalisation of care records and the way the service monitored the quality and safety of the care people received. At this inspection we found that these actions had been completed.

At this inspection the service had made significant improvements and was no longer in breach of any Regulations. The rating for this service is now ‘good’.

The service had a registered manager in place. 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.

People and their relatives told us they felt safe and secure living in the service. Staff knew how to keep people safe and plans were in place to reduce risks to people.

Medicines were managed, stored and administered safely.

People and their relatives told us there was enough competent staff to provide them with support when they required it. The service was working on strategies to reduce the use of agency staff and increase the number of permanent care staff.

Staff had received appropriate training and support to carry out their role effectively. Staff were given opportunities to develop and improve upon their skills.

People received appropriate support to maintain healthy nutrition and hydration. They told us they had appropriate access to support from other health professionals such as GP’s, chiropodists and dentists.

The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLs). 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. Some improvements were required to ensure that capacity assessments and best interest’s paperwork were completed consistently.

People and their relatives told us the staff were kind, caring and respectful towards them. This was confirmed by our observations. People and their relatives were given the opportunity to feed back on the service and their views were acted on. However, some improvements were needed to ensure that people’s views on their care were documented in care planning and review records.

Staff we spoke with knew people on an individual basis. Care records contained enough information about people for staff to fully understand them. People had access to meaningful activities and were supported to follow their interests.

People and their relatives told us they knew how to complain and felt they would be listened to if they wished to make a complaint.

The registered manager, deputy manager and senior management team created an open, transparent and honest atmosphere within the service. People, relatives, staff and other professionals were invited to take part in discussions about the service and feed back their views.

There was a thorough and robust quality assurance system in place and shortfalls identified were promptly acted on to improve the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 10 November 2017

The service was safe.

Plans were in place to reduce the risk of people coming to harm.

There were enough staff to provide people with support.

Medicines were managed, stored and administered safely.

Effective

Good

Updated 10 November 2017

The service was effective.

The service was acting in accordance with the principles of Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). However some improvements were required to MCA and best interests documentation.

Staff had appropriate support, training and development to carry out their role.

People were supported to maintain healthy nutrition and hydration.

People were supported to have contact with other health professionals such as GP�s.

Caring

Good

Updated 10 November 2017

The service was caring.

Staff were kind and caring towards people.

People were supported to remain as independent as possible.

Staff treated people with dignity and respect.

Some improvements were required to ensure that people�s views about their care were documented.

Responsive

Good

Updated 10 November 2017

The service was responsive.

Staff were aware of people�s preferences and provided them with person centred care.

People were supported to feedback their views and knew how to make complaints.

People had access to meaningful activity.

Well-led

Good

Updated 10 November 2017

The service was well-led.

The management team had made and sustained improvements to the service since our previous inspection.

There was a robust quality assurance system in place.

People, relatives and staff were asked for their views on the service.

There was an open, honest and transparent atmosphere in the service.