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Inspection Summary


Overall summary & rating

Good

Updated 20 June 2019

About the service:

Summerville is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during the inspection. Summerville has the capacity to support up to 45 people; at the time of the inspection 31 people were living at the care home.

People’s experience of using this service:

The quality and safety of care people received had improved since the last inspection.

People’s level of risk was assessed and determined from the outset; measures were put in place to monitor people’s health and well-being as a measure of keeping them safe.

Care records contained consistent, up to date and relevant information in relation to the care people needed. Staff told us they were provided with up to date and timely information.

Safeguarding procedures had improved; staff told us they were aware of safeguarding processes and the importance of keeping people safe. People who lived at Summerville told us they felt safe.

Staffing levels were routinely analysed and reviewed in relation to the dependency needs of people who were living at Summerville. The registered manager also listened to the views of the people receiving support and responded accordingly in relation to the levels of staff.

Recruitment procedures had been improved since the last inspection. Staff had been appropriately vetted and had undergone the necessary pre-employment recruitment checks.

The registered provider was now complying with the principles of the Mental Capacity Act 2005. People were appropriately assessed from the outset and measures were in place to ensure people were not unlawfully restricted.

We observed kind and compassionate interactions between staff and people receiving support. People received dignified and respectful care that was tailored around their support needs.

The complaints procedure had improved since the last inspection. Complaints were regularly reviewed, discussed and responded to in line with organisational policy.

Improvements had been made in relation to 'person-centred care'. Care records contained tailored information in relation to people’s likes, wishes and preferences.

Effective quality assurance measures were now in place. Processes and systems to assess and monitor the provision of care had improved since the last inspection.

Audits and checks were routinely completed; these helped to maintain a good level of high-quality, person-centred care.

Effective health and safety checks were in place and regulatory compliance was maintained. Up to date certificates were in place for gas, electricity, legionella and fire safety.

Whilst Summerville was homely and offered a friendly atmosphere, aspects of the design and decoration could be further reviewed and adapted.

We recommend that the registered provider reviews the home environment and areas of refurbishment that are required.

Medicine management procedures were safely in place. Staff received medication administration training, regularly had their competency levels checked and were familiar with the medication administration policy.

Staff were supported with training, learning and development opportunities. People and relatives told us that staff were experienced and could provide the support they required.

There was a dedicated activities co-ordinator in post; people were supported to engage and participate in a range of different activities that they enjoyed. Summerville now had access to a mini-bus and external activities were arranged as often as possible.

Rating at last inspection: At the last inspection the service was rated ‘Requires Improvement’ (Report published June 2018). Following the last inspection, the registered provider submitted an improvement plan which we checked during the inspection. We found that improvements had been made.

Why we inspec

Inspection areas

Safe

Good

Updated 20 June 2019

The service was safe.

Details are in our 'Safe' findings below.

Effective

Good

Updated 20 June 2019

The service was effective.

Details are in our 'Effective' findings below.

Caring

Good

Updated 20 June 2019

The service was caring.

Details are in our 'Caring' findings below.

Responsive

Good

Updated 20 June 2019

The service was responsive.

Details are in our 'Responsive' findings below.

Well-led

Good

Updated 20 June 2019

The service was well-led.

Details are in our 'Well-led' findings below.