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The last rating for this service was requires improvement where we found multiple breaches of regulation. People were supported to eat and drink enough, systems were in place to monitor people’s intake where they had been assessed as at risk. People’s needs had been assessed holistically and best practice guidance had been utilised and followed. People were supported by trained staff who understood their needs. People were supported to maintain their health needs, staff liaised with health care professionals where necessary and implemented their advice. We looked at infection prevention and control measures under the Safe key question.
People were not supported to have maximum choice and control of their lives because the policies and systems in the service did not support this practice. The service had not fully considered if they were providing care in the least restrictive manner and if applications to deprive people of their liberty were required. We found that Corton House held appropriate care records for people using the service, such as assessments, care plans and risk assessments.
Chiswick House
Overall improvements in the management of medicines had been made although we noted some further work was still required in some aspects of medicine management. People’s dietary preferences and needs were known and catered to. People’s needs were supported in line with best practice guidance and legislation, this included in relation to people’s individual health needs. The service worked alongside health and social care professionals to ensure people’s needs were met.
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.
Laurel Lodge Care Home
People, relatives, and staff were listened to and involved in the running of the service. The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.
The overall rating for the service has changed from requires improvement to good. We carried out an unannounced comprehensive inspection of this service on 10 March 2020. This was the second time the service had been rated requires improvement.
Infection prevention and control
The people using the service spoke highly of both care and senior staff. For example one person said that, 'My care is never hurried they always have time for me'. A visitor told us that, 'Staff are absolutely wonderful, very caring and attentive'. People received support from kind and well-intentioned staff, however we found on some occasions they had failed to attentively investigate and respond to people which had compromised their dignity. We think it’s important you have detailed, comprehensive information so that you can decide which care providers to shortlist. Corton House is registered to provide the regulated activity of accommodation for persons who require nursing or personal care, for a total of 43 people .
People were receiving a service which required improvement. The provider had started to take some positive actions to make improvements to the quality of the service, although it was too early to assess how effective these would be. Following our inspection, they also took action to respond to the immediate risks identified. There was a pleasant, friendly and sociable environment. People benefited from effective networks the service had built with other resources in the community. People were supported by enough staff, who worked well together, and felt supported by the management team.
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.
Systems were in place to ensure people’s safety was effectively managed. Staff were aware of the procedures for reporting concerns and of how to protect people from harm. People received their prescribed medicines appropriately and medicines were stored safely. People’s health, care and nutritional needs were effectively met. And staff were aware of people’s dietary needs and preferences.
Someone else said, 'I absolutely love the food, it's served hot and you can ask for a small portion if you want and the staff will try their hardest to help you'. Another person confirmed that, 'Mealtimes are enjoyable'. We found that the provider had in place systems to monitor and assess the quality of the service, and identify any issues. People were asked for their views and these were acted on. This inspection was carried out to follow up on action we told the provider to take at the last inspection. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
We have therefore encouraged every provider to open their ‘online windows and doors’ to help you make an informed choice. The profile score is a measure of how much information has been provided. "Our mission is to provide excellent, loving care and support for older people." Welcome to Corton House, a 42 bedded care home with a mission to provide excellent loving care and support for older people.
These older reports are from our old approaches to inspection, including those from before CQC was created. The visitors we spoke with confirmed that they were extremely confident that the staff or management would quickly resolve any concerns they might have. One visitor told us, 'The room my mum has, was chosen by staff because it is big enough for my father to visit her in his wheelchair'. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded. ¿ People who used the service were supported to maintain regular contact with friends and family.
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