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Inspection Summary


Overall summary & rating

Outstanding

Updated 12 December 2020

Netley Court is a care home without nursing and can accommodate up to 70 people. It specialises in providing care for adults over 65, including those who may be living with dementia. There were 58 people using the service at the time of the inspection.

We found the following examples of good practice.

Measures were in place and clearly communicated to prevent relatives, friends, professionals and others visiting from spreading infection at the entrance and on entering the premises. Automated entrance doors had been fitted to reduce touch point areas, along with an automated sanitising station at the entrance. Before entry, visitors were required to answer a set of questions and their temperatures were taken using a digital thermometer. An electronic signing in system had replaced the previous paper-based system.

Visitors were provided with personal protective equipment (PPE) and visits took place in a designated visitor’s room which included Perspex partitions and separate entrance and exit areas. Alternative arrangements to visiting in person included the use of hand-held devices to accommodate skype or zoom calls and telephone and email communications were also facilitated and supported.

Socially distanced group activities had taken place based on risk assessments of day to day events and the provider had implemented changes to ensure people’s social, spiritual and emotional needs continued to be met. This had included church services via YouTube, virtual pantomimes and music concerts. When weather permitted, the service had arranged external singers and entertainers in the grounds, following social distance guidance.

The provider reviewed and amended their admissions procedure in line with government guidance. New residents were required to have a negative COVID-19 test result prior to moving in, along with a 14-day settling in period that included restricted access to parts of the building. For those who were unable to self-isolate due to cognitive impairment a designated isolation suite was identified.

The provider had considered the impact on people of staff having to wear facemasks. Where appropriate, care plans included guidance about how staff could most effectively communicate and meet people’s needs. The provider had also considered people’s rights to consent to COVID testing and, where appropriate, decision specific mental capacity assessments were completed in line with the Mental Capacity Act.

In addition to the standard infection control training, COVID-19 specific training had been provided and handwashing competency assessments completed to ensure staff had the required knowledge. Also, a presentation and quiz had been created to further ensure staff competencies. Specific areas had been arranged for staff to change into their uniforms before starting their shifts and there were new procedures for the washing of uniforms to be undertaken in-house.

The provider had conducted one to one staff wellbeing meetings that focused on each individual and any difficulties they and their loved ones were experiencing during the pandemic. Support had included hardship grants and food parcels. The annual team awards ceremony had been held virtually as it was felt important to give recognition to staff.

The provider had reviewed how they obtain feedback from people, particularly in relation to COVID-19. This had included amending the questions asked in annual satisfaction surveys. Weekly emails to relatives had been introduced, which had improved communication.

During the early days of the pandemic the provider had been proactive in introducing twice daily temperature checks and oxygen saturation levels for people using the service. The provider had implemented an Infection Prevention team where representatives from all the support functions met virtually to discuss COVID-19, each care home and any support required. Regular virtual meetings with the home managers had taken place to cascade changes in guidance a

Inspection areas

Safe

Good

Updated 12 December 2020

We were assured the service was following safe infection prevention and control procedures to keep people safe.

Effective

Good

Updated 12 December 2020

Caring

Outstanding

Updated 12 December 2020

Responsive

Good

Updated 12 December 2020

Well-led

Outstanding

Updated 12 December 2020