About the serviceIsle Court Nursing Home is a residential care home that was providing personal and nursing care to 61 people aged 65 and over at the time of the inspection. The service can support up to 80 people across three separate units. One of the units specialises in providing care to people living with dementia.
People’s experience of using this service
People were not always supported to have maximum choice and control of their lives. Staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.
We have made a recommendation people, relatives and significant others are involved in care reviews.
We have made a recommendation that the management team ensure all staff receive formal supervision in line with company policy.
We have made a recommendation that the management team gather people’s experiences of care delivered on all three units of Isle Court Nursing Home.
We received mixed feedback on how people were treated with dignity and respect. People told us staff availability impacted on the care they received but staff were caring. We observed positive interactions and saw staff had a good rapport with people.
Medicines were managed safely. Infection prevention was managed to minimise risk and keep people healthy. Staff had received training on what constituted abuse and the actions to take should it be witnessed. There were robust recruitment procedures to ensure suitable staff were employed.
All staff received induction shadowing and mentoring to promote effective knowledge of their role. The registered manager worked with other agencies to promote positive health outcomes for people. People said the food was good and plentiful, with the appropriate support being offered. Isle Court Nursing Home was well maintained and free from hazards to minimise environmental risks.
Everyone at Isle Court Nursing Home had a care plan. These were under review to ensure people’s long-term needs were appropriately identified. Staff had received training around people’s communication needs. There was a staff member employed to co-ordinate activities for people. These included activities within the home, trips out and arranging visiting entertainers.
During the inspection process the registered manager post became vacant. The registered provider placed a senior manager on site as house manager to provide stability until a new registered manager could be recruited. The registered provider had created a new role of pastoral support co-ordinator to support people, families and staff. The registered provider advertised this role as a listening ear for everyone. Clinical and quality audits monitored the quality and safety of the service.
Rating at last inspection: At the last inspection the service was rated good (published 07 September 2016.
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement: Action we told provider to take (refer to end of full report)
We have identified breaches in relation to staff availability to meet people’s needs and good governance to meet all statutory regulations at this inspection.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will monitor the progress of the improvements working alongside the provider and local authority. We will return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk