Table of Content
Similarly, taps on wash-basins were of the toggle variety, minim... Ratings are provided by Care Quality Commission and reflects the most recent report for this care home, which was published on 17 February 2017. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. She has now been at Horton House more than a year and is healthy happy and has a good quality of life. Our Brakendon Close complex is designed to provide for persons of pensionable age, who are physically capable of independent living. The was a varied programme of events for people to join in with and ample opportunities for people to develop and maintain hobbies and interests.
Quality monitoring procedures were in place and action was taken, or planned, where the need for improvements were identified. We saw the registered manager strove to continually improve the service. Staff received sufficient guidance to ensure they provided consistent care to each person. Changes to people’s care was kept under review to ensure the change was effective. See CQC's page explaining ratings for more details about ratings and inspection practices of care homes in England.
Independent Living
Bedrooms have en-suite facilities and there are several communal spaces, including a communal lounge, garden room, activities room and dining room. Governance systems had been reviewed and strengthened. We noted continued improvements were needed to ensure the service continued to improve and develop. Some systems in the service could be strengthened to better support engagement with people living with dementia. Further work also needed to continue to develop a fully person-centred culture. The provider and the service’s management team were committed to driving improvements.
We also spoke to three visitors of people who were using this service. Cromwell House, opened in 1969, “a conscientious study has been made of old people’s comforts and habits,” it was reported. As a result, doors were fitted with lever handles, making them easier for arthritic hands to open.
What people are saying about Corton House
People were not sufficiently safeguarded from the risk of abuse. This was because staff had failed to identify safeguarding incidents and report these to the relevant authorities. People were supported by kind and caring staff who knew them well.
We have made a recommendation regarding the deployment of staff and consistent staffing levels. Whilst staffing levels did not significantly impact on people’s experience of their care, we were concerned about the ability to provide consistent staffing and ensure the adequate deployment of staff. We have also made a recommendation the provider reviews their recruitment systems and checks. People were not fully involved in the design of menu choices. Systems to support people who had memory difficulties to make meal choices, needed improving to ensure they had a good meal time experience. We undertook this focused inspection to check the service had made improvements.
Infection prevention and control
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. We will continue to monitor the service and will take further action if needed. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Corton House on our website at and moving and handling. This is the latest available inspection report for this service, carried out on 21st May 2009. CQC found this care home to be providing an Excellent service.
A service development plan was in place to help continue to develop and strengthen the service. The service had long standing community links which they had retained. The service had also developed new community links for the benefit of people using the service. We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety.
We found that there were formal systems in place to assess people’s capacity for decision making and applications had been made to the authorising agencies for people who needed these safeguards. People’s rights to make decisions about their care were respected. Where people did not have the mental capacity to make decisions, they had been supported in the decision making process. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.
The environment was clean and infection control measures were in place. Risks to people, including environmental risks, were assessed and actions taken to mitigate them. Systems and processes were in place to safeguard people.
These documents provided detailed instructions for staff on how to meet the person's needs and the information had been reviewed regularly to ensure it was current. One person we spoke with told us, 'I feel like I'm part of a family here. It's a place to be content." Another person we spoke with told us, "As soon as the staff appear around the door, I feel reassured. I think it's an excellent place and I'm very happy here.' We found that the provider had in place suitable systems to ensure the safety and suitability of the premises and to protect people from harm.
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. People’s communication needs had been assessed and met.
This report only covers our findings in relation to the Key Questions, safe, effective, and well-led as these areas were rated requires improvement at the last inspection. A person-centred culture had been created through a range of systems which sought to involve people, capture and use their feedback. There was a clear governance structure in place, which included quality monitoring systems. The provider and registered manager were keen to provide the best service they could.
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