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Inspection Summary


Overall summary & rating

Good

Updated 20 April 2018

This unannounced comprehensive inspection took place on the 7 February 2018. This was the first inspection since registration with the commission on 12 January 2017.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Nyton House is a large historic house in its own grounds situated on the outskirt of Chichester. The service provides single or double room accommodation for up to twenty five predominantly elderly people who need assistance with personal care, including those with a dementia related illness. There are also two houses in the grounds which provide accommodation to support people who are more independent. At the time of the inspection there were twenty-three people using the service.

The service is situated over three floors which are served by a passenger lift. A stair lift is located in one of the external buildings used for people with more independence. Fifteen rooms have en-suite toilets. Seven of those have baths or showers as well.

There were enough bathrooms including assisted baths on all floors. There is a large lounge on the ground floor with a conservatory also used as a dining area and general seating area overlooking the large gardens. There are a range of aids and adaptations to support people with limited mobility.

The atmosphere in the service on the day of the inspection was relaxing, friendly and calm. Staff responded promptly when people asked for help and support was provided at a relaxed pace. Throughout our inspection we observed staff providing support with respect and kindness. People told us they felt safe and comfortable living at Nyton House. Comments included, “It’s the best move I have made. Everything about living here makes me feel safe”; “All the staff have time for you. They are there whenever I need their help" and "Living here has certainly improved my quality of life and I do feel very safe living here."

People had access to an extremely diverse range of activities which were very meaningful to them. On the day of this inspection there was a choir practice which was well attended by people using the service. One person told us, “This is a wonderful idea. It is always well attended because everyone enjoys it so much. It brings back many happy memories of singing in a choir when I was younger.” People were supported to use a range of community activities either independently or with families and staff. This was to attend external events, have a coffee or visit local attractions. The service had also forged strong links with local schools who regularly visited the service to entertain people or just have a discussion with them. People also visited school events.

The service had recently introduced a new medicines system and was working through some of the changes which were designed to improve the safety and management of medicines. Medicines administration records had been completed and there were appropriate procedures in place for the ordering, storage and disposal of medicines.

Staff were sufficiently skilled to meet people’s needs. Necessary pre-employment checks had been completed and there were systems in place to provide new staff with appropriate induction training. Existing staff received regular training, supervision and annual performance appraisals.

People’s risks were being managed effectively to ensure they were safe. Records showed where changes in people’s level of risk were. Care plans had been updated so staff knew how to manage those risks.

Safeguarding procedures were in place and staff had a good understanding of how to identify and act on any allegations of abuse.

The manager used effective systems to record and report on, accidents and incidents and take action when required.

The service was suitably maintained. It was clean and hygienic and a safe place for peop

Inspection areas

Safe

Good

Updated 20 April 2018

The service was safe. Staff knew how to recognise any potential abuse to keep people safe.

Potential risks to people were identified and measures were in place to minimise them.

People received their medicines as prescribed. Staff received training and support to administer medicines safely.

There were sufficient numbers of staff to care for people in a safe way. Recruitment processes included checks so that only suitable staff were employed.

The service was clean and working practices were in place to minimise the spread of any infection.

Effective

Good

Updated 20 April 2018

The service was effective. People's health care needs were assessed and monitored and advice was sought from healthcare professionals when required.

People's dietary needs were met. The range of food options promoted their health and wellbeing.

People were supported by staff, who had been appropriately trained to understand their needs.

The needs of people living with dementia had been taken into consideration in the design of the environment.

Caring

Good

Updated 20 April 2018

The service was caring. Staff communicated effectively with people and treated them with kindness, compassion and respect.

People's privacy and dignity was respected by staff.

Staff showed concern for people's well-being in a caring and meaningful way and responded appropriately to their needs

Responsive

Outstanding

Updated 20 April 2018

The service was extremely responsive. People had the opportunity to participate in an extensive range of meaningful activities, which were person centred and included community involvement. Creative ways were found to support people's interests.

People's care plans had been developed to include people's life history and what was important to them.

People were supported to make choices and have control over the care and support they received.

People knew how to make a complaint and were confident if they raised any concerns these would be listened to. Many positive compliments were received.

Well-led

Good

Updated 20 April 2018

The service was well led. The quality of the service was monitored through regular audits were effective in highlighting areas requiring further

improvement.

The management team were clear and about the vision and values of the service and led by example.

People's and relatives views about the service were sought and acted on.