About the service Laureate Court is a residential care home providing personal and nursing care to 43 people at the time of the inspection. Some people were living with dementia. The service can support up to 84 people.
People’s experience of using this service and what we found
People living at the home were safe. Risks associated with their care and support had been identified and actions taken to mitigate risks. The provider had a dependency tool which was used to identify the number of staff required. We found there were enough staff available to meet people’s needs in a timely way. Accidents and incidents were recorded and analysed to identify trends and patterns. People received their medicines as prescribed. The registered manager had identified some actions as part of the auditing process and was introducing new systems to support staff to record more effectively.
Staff were knowledgeable about safeguarding and confirmed they had received training in this subject. They knew what actions to take if they suspected abuse.
People told us they were happy, and that staff were kind, caring and compassionate and all our observations confirmed this. People’s physical and emotional needs were met. The provider had worked with external health and social care professionals to assess and review people's care in line with best practice guidance. People were supported to maintain their nutrition and hydration.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; however, systems in place required further development to ensure best interest decisions were made in line with current guidance.
Systems in place to monitor the service needed to be further developed and embedded into practice. Audits in place had not always identified the issues raised on inspection. Where some issues had been identified, action had been taken to resolve them. The registered manager and provider took swift actions to address the concerns we raised. The concerns did not impact on people who used the service.
A newly appointed registered manager was in post and had made some positive changes within the home. Since the registered manager had been in post, they had improved the audit system and their audits had identified shortfalls which had not been previously identified by the regional managers. There had been several changes and lack of consistency in regional managers, this evidenced a lack of provider oversight. The management team and staff knew their roles and responsibilities. People and relatives, we spoke with were complimentary about the management and staff team.
The home had recently undergone refurbishment and some areas required completion. The environment for people living with dementia could be improved to ensure signage and decoration of the home promoted their independence. The registered manager informed us that this had been identified and action was being taken.
We were somewhat assured that the provider was promoting safety through the layout and hygiene practices of the premises. Following our inspection, the provider took action to address these concerns, which minimised the impact on people using the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 15/02/2021 and this is the first inspection.
The last rating for the service under the previous provider was rated requires improvement, published on 24/04/2020.
Why we inspected
This was a planned inspection of a newly registered service. We inspected the service to assist in releasing capacity in the sector.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for laureate Court on our website at www.cqc.org.uk.
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.