The Court

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We assessed 4 quality statements out of 8 within the well-led key question. At the last Inspection we found this key question to be Inadequate. We found improvements had been made since the previous inspection on 14 June 2023. The service was no longer in breach of regulations relating to continuous learning and improving care; Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements. Systems were in place to monitor quality, with learning and action taken to address any shortfalls. There was a capable and compassionate management team who, with staff, fostered a culture that delivered good quality care for people in partnership with external professionals. People and family members told us they felt the service was well-led.

This service scored 54 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff told us the management team were knowledgeable and they could raise any concerns with them at any time privately. One staff member told us, “I know if I need help and reassurance I can go to the office at any time.”

There is a clear job description for each role in the service, the management team have introduced a number of communication processes to support colleagues on duty, performance and driving forward the delivery of care. The communication methods have also enhanced the teams having the most up to date information about the service and the people they care for. There has been an introduction of mid-morning meetings in the service to address quality, health and safety for the day and records held. The management team hold monthly one to one sessions with the residents and family members are also invited to these, residents can share their opinions and make comments with the management team. The introduction of the information board in the reception area has assisted in communication and inclusion of the residents, to discuss activities and menu choices and information to share. A new audit system has been introduced following the last CQC inspection in June 2023 and a refurbishment was undertaken which made areas of the home less restrictive.

Staff told us they were aware of the whistle-blowing policy and would not hesitate to raise any concerns and knew they would be listened to.

The provider had a whistle blowing policy in place to help inform staff practice and provide information on how they can speak up if they have any concerns.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff told us the management team worked together and completed regular checks to make sure the home and the support provided is safe.

The provider had systems in place to monitor the quality and safety of the service. Regular audits were completed to help identify areas of improvement, although not all actions had been completed. Notifications had been submitted to the Commission regarding reportable events as required. The provider had an up to date statement of purpose that reflected the service provided.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff told us they were all treated fairly, that staff morale was good and ,”We are like a little family and no animosity at all.” Staff said they had sufficient training and the management team told us the home had made significant improvements since the last inspection

The management team have implemented a new management structure and a quality assurance programme which is completed monthly by the management team. The regular daily meetings to discuss issues, staff suggestions and to raise matters are assisting with care delivery improvements and the communication tools used in the service is to inform the required improvements in practice. The management team take on suggestions from the residents and the staff teams, this includes complaints, compliments and feedback forms and is considered and included in the monthly team agendas for meetings. Lessons learnt are discussed and shared with staff, suggestions from the staff are discussed as the management team have recognised that the staff hold great knowledge about the residents they support to learn and share with each other to enhance the care delivery and living in the service experience. The manager has introduced using a 'safe steps' portal for investigation and monitoring of falls. This portal is updated on a monthly basis by the Care Coordinator. The training matrix is updated monthly and progress measured for each staff member with completion target dates set.