Hanbury Court Care Home provides 24 hour care, including personal care for up to 34 adults. This includes nursing care for older people who may be living with dementia. The service is a purpose built property. The accommodation is arranged over two levels. There were three bedrooms with en suite toilet facilities. All other bathrooms and toilets were shared. There were 30 people living at the service at the time of our inspection.
The service had a manager who had been at the service for 14 months at the time of our inspection and was awaiting the outcome of her application to become the registered manager of the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection on 22, 23 and 27 June 2016 we found three breaches of the Health and Social Care Act 2008 (regulated activities) Regulations 2014 regarding, medicines management and supporting staff and good governance.
We inspected Hanbury Court Care Home on 31 January and 1 February 2017. This was an unannounced inspection. At this inspection we found the service had improved in some areas. However further improvements should be made regarding care planning and quality monitoring at the service.
People and their relatives told us they felt safe using the service. Staff knew how to report safeguarding concerns. Risk assessments were completed and management plans put in place to enable people to receive safe care and support. There were systems in place to maintain the safety of the premises and equipment. We found there were enough staff working at the service and recruitment checks were in place to ensure new staff were suitable to work at the service. Medicines were administered and managed safely.
Appropriate applications for Deprivation of Liberty Safeguards had been made and authorised. Staff received appraisals and group supervisions. People using the service had access to healthcare professionals as required to meet their needs.
People were offered a choice of nutritious food and drink. Staff knew people they were supporting including their preferences. People using the service and their relatives told us the service was caring and we observed staff supporting people in a caring and respectful manner. Staff respected people’s privacy and dignity and encouraged independence. People and their relatives knew how to make a complaint.
Regular meetings took place for staff, people using the service and their relatives. Staff, people and their relatives told us the management team were supportive and approachable. However, we found areas for improvement regarding quality assurance mechanisms used by the service.
We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations. You can see what action we asked the provider to take at the back of the full version of this report.