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Inspection Summary


Overall summary & rating

Outstanding

Updated 4 April 2020

About the service

Admiral Court is a nursing home providing personal and nursing care to up to 60 people aged 65 and over who may or may not be living with dementia. At the time of inspection 60 people were living at the service across two floors, each of which has separate adapted facilities. One of the wings specialises in providing care to people living with dementia and residential care needs. The other for people who require nursing support.

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

People received outstandingly person centred and individualised care from a motivated, informed and exceptionally well led staff team.

The provider had strong visions and values focused on maximising people’s quality of life and cultivated a caring and supportive culture. Staff had embraced these values which were evident in all interactions.

Without exception people and relatives spoke in high praise of the registered manager, provider, extended management team, and nursing and care staff. One person summed this up, “Nothing is too much trouble, they always make themselves available to do things, the extra little things that really matter.”

Staff at all levels were described as exceptionally kind and caring and the provider encouraged staff and people to be kind in everything they did. Everything about an individual person’s life was celebrated. This had resulted in a kind culture at the home.

There were a number of unique staffing roles across the service led by a passionate and motivated registered manager, deputy manager, heads of department, lifestyles lead and dementia coordinator. These key members of staff supported nursing and care staff to provide an outstanding level of care to people through constant consultation and learning.

Staff understood the needs of each individual person and often went the extra mile to ensure people lived their best lives. There were numerous examples of people’s everyday lives being enhanced by creative, compassionate care with an extremely varied lifestyles programme.

The provider had heavily invested in staff training and development in best practice innovations which had resulted in significantly improved outcomes for people, particularly those living with dementia. They were constantly adapting the service to meet the needs of people well.

People felt valued and respected within the local community and staff encouraged people to maintain their independence and life skills, contributing to the wellbeing of others.

The service had exceptionally robust systems in place and oversight for monitoring the quality of care provided. Heads of department were continuously learning, developing and shaping the service, involving people living at the home. Therefore, people were confident they received safe care and treatment.

People had excellent access to a balanced and varied diet. Those with specific health needs were supported by knowledgeable staff and external health professional advice.

Medicines were managed safely and in line with best practice guidance. Every area of the physical environment offered varied, safe and in the moment meaningful engagement opportunities for people.

People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Rating at last inspection and update: The last rating for this service was good (published 24 October 2018)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 4 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 4 April 2020

The service was exceptionally effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 4 April 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 4 April 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 4 April 2020

The service was exceptionally well-led.

Details are in our well-Led findings below.