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Ivy Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 April 2020

About the service

Ivy Court is a residential care home providing personal and nursing care to 45 people at the time of the inspection (currently half receiving nursing). The service can provide both residential and nursing care, for up to 71 people, aged 65 and over, including support for people living with dementia. The home is a modern purpose-built building over two floors with communal areas, including lounges, dining areas, a cinema room and gardens.

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

People had experienced a high level of instability of management and staffing at the service which had been without a registered manager since May 2019. Whilst improvements had been experienced since the last inspection, there were still significant areas of concern regarding the oversight and management of the service. Some of the systems and processes in place to monitor the quality and safety of the service required further improvement and embedding to support identifying and driving improvements. Where issues had been identified action had not always been taken to ensure improvements were made in a timely manner.

People's care plans still did not always contain accurate, consistent and accessible information about their needs, risks or the care they required. Care was not always sufficiently personalised to reflect people’s preferences. The service supported social activities and made visitors welcome. People felt listened to and responses to complaints had improved. End of life care plans were in place and training was to take place to improve this aspect of care.

Risks were not always monitored and mitigated for effectively. Staff recruitment practice was appropriate to ensure staff were suitable to work in a care environment. We found there were sufficient staff, but they were not always managed appropriately to meet the needs of people in a timely way. We made a recommendation about the deployment of staff. Overall medicines were being managed safely and infection control measures were appropriate. Safeguarding procedures were being followed. Accidents and incidents had been analysed so that lessons could be learnt, and preventative action taken.

The environment was modern, pleasant and well maintained; and people were positive about recent improvements to meals and choice. Staff were generally well trained and capable. People’s health was well monitored, and they were supported to access health and social care services as required. 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 told us staff were kind, caring and considerate and respected their dignity. However, they felt staff were busy and did not always have time to chat. People were given opportunities to feedback regarding the quality of service and how the service was organised.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update: The last rating for this service was Inadequate (published 16 September 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection whilst we found improvements, not enough had been made and the provider was still in breach of regulations. The service is now rated Requires Improvement overall but remains with a rating of Inadequate for well-led. This service has now been rated Requires Improvement or Inadequate for the last three consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to not ensuring safe care, providing personalised care and not having an adequate management structure in place to ensure nec

Inspection areas

Safe

Requires improvement

Updated 2 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 2 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 2 April 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 2 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 2 April 2020

The service was not well-led.

Details are in our well-led findings below.