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Pytchley Court Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 October 2020

About the service

Pytchley Court Nursing Home provides nursing and residential care for up to 40 older people, including people living with dementia. There were 29 people receiving care at the time of the inspection.

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

Infection control procedures required improvement. Personal protective equipment [PPE] had not been disposed of appropriately and cleaning schedules were not detailed with actions taken.

There were insufficient systems in place to identify any shortfalls in the care received. Audits that had been completed, had not always identified the concerns or had actions documented. Records of care were not consistently completed and had not audited.

Not all staff and relatives felt there were enough staff on duty to meet the needs of everyone living at Pytchley Court Nursing Home. Although people were supported by staff who knew them well and had been safely recruited.

Risk assessments were in place to protect people from harm, however these were not consistently followed by staff. Although, we saw no evidence of harm occurring.

People were supported with their medicines safely.

Staff told us they felt well supported by the management and enjoyed their job.

People were supported to feedback on the service they received and significant people were kept up to date regarding peoples changing needs.

Relatives we spoke to were all positive about the care and support given by staff.

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

Rating at last inspection

The last rating for this service was requires improvement (published 27 April 2019).

The service remains rated requires improvement.

Why we inspected

We received concerns in relation to staff training, record keeping and clinical oversight. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-Led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We have found evidence that the provider needs to make improvements.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pytchley Court Nursing home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to oversight of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 2 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 2 October 2020

Caring

Good

Updated 2 October 2020

Responsive

Good

Updated 2 October 2020

Well-led

Requires improvement

Updated 2 October 2020

The service was not always well-led.

Details are in our well-Led findings below.