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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 27 April 2019

About the service: Pytchley Court Nursing Home provides nursing and residential care for up to 40 older people. There were 24 people receiving care at the time of the inspection.

People’s experience of using this service:

¿ The provider had overseen changes to the management and implemented systems to improve clinical safety. There continued to be areas that required improvement and existing systems required embedding into practice.

¿ The interim manager had involved all staff in the improvement plan. Some staff had taken on responsibilities for areas of the home which had improved the reliability and quality of the care provided.

¿ Changes to people’s health was identified early and staff sought medical help in a timely way. People were supported to access relevant health and social care professionals. There were systems in place to manage medicines in a safe way.

¿ Staff understood their roles in safeguarding people from abuse or improper treatment. The managers were responsive to staff concerns.

¿ There were enough clinical and care staff deployed to provide people's care; there was a high use of regular agency nursing and care staff who had received induction to the service. The provider continued to recruit staff.

¿ People received care from staff that had received the training and support to provide for their individual needs.

¿ People were involved in the planning of their care which was person centred and had been recently updated. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted.

¿ People had developed positive relationships with staff. Staff had a good understanding of people's needs and preferences.

¿ People were supported to express themselves, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred.

¿ People using the service and their relatives knew how to raise a concern or make a complaint. The manager followed the provider's complaints procedures to respond to complaints and use the issues raised to improve the service.

¿ Staff ensured people received enough food and drink to maintain their health and well-being. People who were at risk of losing weight and dehydration received additional support and monitoring.

¿ People had the opportunity to express their preferences or wishes for their end of life care. People's care plans recorded people's wishes.

¿ People and their relatives had been asked for their feedback and had begun to be involved in the running of the home.

¿ The provider was working within the principles of the Mental Capacity Act (MCA), they identified people who required a Deprivation of Liberty Safeguards (DoLS) assessment and made the appropriate applications.

¿ The interim manager had identified through audits, more areas that required further improvement.

Rating at last inspections:

At the last full comprehensive inspection in April 2018, we rated the service as Requires Improvement. We found the provider to be in breach of three regulations relating to referrals to health professionals, medicines, staffing and governance. The provider was required to provide improvement plans.

We carried out a responsive focussed inspection in September 2018 due to concerns about clinical safety. We inspected the service for the safe and well led domains only. We rated this service inadequate (report published on 15 January 2019). We found the provider was in breach of four regulations. They had not notified CQC of all notifiable incidents that occurred at the home. They had not ensured there was sufficient clinical experience to meet people’s health needs, assessed monitored or made improvements to the home, identified potential abuse of people or deployed enough staff with the right skills to meet peoples’ needs. We placed the service into special measures.

This service has been in Special Measures. Services that are in Special Measures are kep

Inspection areas

Safe

Requires improvement

Updated 27 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 27 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 27 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 27 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 27 April 2019

The service was not always well-led

Details are in our Well-Led findings below.