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Northcott House Residential Care and Nursing Home Good

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Inspection report

Date of Inspection: 18, 19 June 2014
Date of Publication: 19 July 2014
Inspection Report published 19 July 2014 PDF

Overview

Inspection carried out on 18, 19 June 2014

During a routine inspection

We carried out this inspection as part of our routine inspection programme to answer our five questions. Is the service safe, is it effective, is it caring, is it responsive and is it well led? The inspection was carried out by a single inspector over two days. At the time of our inspection there were 52 people using the service. We spoke with eight of them in order to understand the service from their point of view. We observed the care and support people received in the shared areas of the home. We looked at records and files. We spoke with the registered provider, the registered manager and eight members of staff.

This is a summary of what people told us and what we found.

Is the service safe?

People told us they felt safe and comfortable in the home. They said care and treatment were only given with their consent, and if they had a problem they were confident it would be dealt with appropriately.

We found the service had systems in place to ensure people were protected from the risk of abuse. They carried out the necessary checks before staff started work and there was a robust recruitment process in place.

People�s individual care plans contained measures to maintain the safety of people�s living environment. Appropriate risk assessments were in place to ensure people�s safety and welfare. Arrangements were in place for foreseeable emergencies to keep people safe and comfortable.

CQC monitors the operation of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) which apply to care homes. The manager at Northcott House had a good understanding of the Mental Capacity Act 2005, DoLS and their responsibilities. Where people lacked capacity they were protected because the provider followed the appropriate guidance and code of practice. There were no DoLS in use at the time of our inspection. The service had applied for DoLS in the past and followed the correct procedure.

Is the service effective?

People told us that they were satisfied with the care and support they received. One person said staff �do their best for you�. Another person said, �It�s all fine. I have no complaints.�

People were cared for in an environment that had been suitably adapted, with a variety of areas, both inside and outside, where they could spend time according to their choice.

We found people�s care and support were based on thorough assessments and detailed and personalised support plans. Systems were in place to ensure care was delivered according to people�s plans. We found the provider acted in accordance with legal requirements where people did not have capacity to make decisions about their care and treatment.

Is the service caring?

People using the service told us they got on well with their care workers and other staff and had a good relationship with them. One said, �They are nice girls.� Another told us, �The carers are very good.�

Staff we spoke with were motivated to provide good care. They knew about people�s needs and how they preferred to have their care delivered. One member of staff said, �It�s like a second family.�

We observed positive, friendly interactions between staff and people who used the service. Staff took time to make sure people understood, spoke clearly and made eye contact with the person they were talking to.

Is the service responsive?

People told us they had been involved in their assessments and care planning, and that their views and preferences were taken into account. They told us staff listened to them. People�s care plans were individualised and person-centred.

We found the service had systems in place to ensure the care provided was appropriate to peoples� changing needs. If routine checks and screening procedures identified a possible concern, the service responded appropriately. People were supported by other healthcare providers as appropriate.

Is the service well-led?

Staff told us they were supported to deliver quality care and they received training in the basic subjects for adult social care, such as consent and the safeguarding of vulnerable adults. They said they were confident if they raised concerns with the manager or senior staff, they would be dealt with properly.

Systems were in place to regularly assess and monitor the quality of service provided. Risks were assessed and appropriate action plans were in place. There were processes in place to review and learn from incidents, accidents and complaints.