Archived: Regency Court Care Home

Updated 2 November 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. This inspection checked whether improvements had been made following the previous inspection in August 2015 where concerns were identified.

This inspection took place on 6 and 7 September 2016 and was unannounced. The inspection was conducted by an inspector and a specialist advisor in nursing care.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We reviewed this and information we held about the service, including statutory notifications and previous inspection reports to help us to decide which areas to focus on during our inspection. Statutory notifications are specific incidents which the registered person is required to tell us about, such as injuries to people which require hospital treatment and incidents which involve the police.

We spoke with four people and three relatives who were visiting their family members and a visitor to Regency Court Care Home. We also observed care and support being delivered during the course of the inspection. We also spoke with the registered manager, the deputy manager, two registered nurses and three care assistants who were on duty. We received written feedback from four visiting healthcare professionals after we had visited.

We reviewed a range of records relating to the management of the home and the delivery of care. They included care plans and medicine administration records (MAR) for six people. Management records we reviewed included the provider's quality assurance records, staff rotas for a period of four weeks, minutes of recent staff and relatives meetings and the training and supervision records of all the staff employed at Regency Court Care Home.

Updated 2 November 2016

This inspection took place on 6 and 7 September 2016 and was unannounced.

Regency Court Care Home provides both long term and respite nursing care and accommodation for up to 45 older people who also require nursing care. At the time of this inspection, there were 38 people living at the home.

The service was last inspected on 18 and 29 August 2015 when it was given an overall rating of ‘Requires Improvement.’ At that inspection we found breaches of four Regulations related to person-centred care, safe care and treatment, meeting nutrition and hydration needs and staffing. We required the provider to make improvements to achieve compliance with these regulations. The provider sent us an action plan which detailed the action they planned to take to make the improvements that were required. At this inspection we found that improvements had been made and legal requirements had been met. The overall rating of the service had improved.

A registered manager was in post when we visited. 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. The registered manager was present throughout the inspection.

The registered manager and staff understood their role in relation to the Mental Capacity Act 2005 (MCA) and how the Deprivation of Liberty Safeguards (DoLS) should be put into practice. These safeguards protect the rights of people by ensuring, if there are any restrictions to their freedom and liberty, these have been authorised by the local authority as being required to protect the person from harm.

Staff confirmed they had been trained in how to identify and report any incidents of abuse they may witness.

Any potential risks to individual people had been identified and appropriately managed. For example, people at risk of pressure wounds had received appropriate nursing care to reduce the risk of their occurrence or recurrence.

People’s medicines had been administered and managed safely.

There were sufficient numbers of staff on duty with the necessary skills and experience to meet people’s needs.

Staff supported people to eat and drink if required. They ensured people at potential risk received adequate nutrition and hydration.

People were provided with support to access health care services in order to meet their needs.

Positive, caring relationships had been developed with staff to ensure people received the support they needed. They were encouraged to express their views and to be actively involved in making decisions about the support they received to maintain the lifestyle they have chosen.

The culture of the service was open, transparent and supportive. People and their relatives were encouraged to express their views and make suggestions so they may be used by the provider to make improvements.