6 September 2016
During a routine inspection
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.