Updated 10 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by two inspectors (one inspector was present for two hours) and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Royal Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager was also the nominated individual (the nominated individual is responsible for supervising the management of the service on behalf of the provider).
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.
During the inspection
We spoke with seven people and six visiting relatives for their feedback about the service. We also spoke with a director and six members of staff including the registered and deputy managers, a senior care worker, two care workers and a kitchen assistant. We spent time in the communal rooms observing care and staff interactions.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at one staff recruitment file and a variety of records relating to the management of the service, including audits, supervision, policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found.