Blenheim Court Care Home

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care. The service was in breach of legal regulation in relation to governance at the service.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not have clear responsibilities, roles, systems of accountability and good governance. They did not act on the best information about risk, performance and outcomes, or share this securely with others when appropriate.

Improvements were required to manage and deliver good quality, sustainable care, treatment and support. Issues noted as part of this inspection were the same or similar to those previously identified. For example, risk management and staffing. The action plan for improvement had not been sustained or embedded into practice.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not always focus on continuous learning, innovation and improvement across the organisation and local system. They did not always encourage creative ways of delivering equality of experience, outcome and quality of life for people. They did not always actively contribute to safe, effective practice and research.

There was no formal improvement or quality plan in place. Limited progress was made on previous concerns, such as management of risk and deployment and supervision of staff.

The provider said they focused improvement across the organisation and local system but from our observations and evidence we saw, this was not effective. Lessons learned were not always identified or communicated with the wider staff team to mitigate and prevent repeat occurrences. Staff were not supported, supervised, mentored or effectively deployed to ensure improvements were embedded into practice. We discussed with the provider how the identification of lessons learned and clear communication of learning with the staff team could be improved. Following our inspection the provider has made some changes to drive improvements.