The Care Quality Commission

Archived: Royal Court

Fiddlers Green Lane, Cheltenham, Gloucestershire, GL51 0SF (01242) 221853

Provided and run by:
Bromford Housing Group Limited

Important: The provider of this service changed. See new profile

All Inspections

During a check to make sure that the improvements required had been made

We did not talk with people using the service as part of this review of the service. We met with the provider to discuss the service and they told us what they had put into place to ensure ongoing compliance at the home. The provider sent us copies of records they had introduced to make sure the relevant information was obtained for new staff. They had not appointed any one since our last inspection in June 2013.

The provider told us that senior staff had received training in the completion of notification forms required by the Care Quality Commission to alert us to accidents, incidents or alleged abuse or safeguarding concerns. They had been made aware of the correct forms to use and how to send them.

At an inspection in May 2011 we issued an improvement action to make sure the provider sustained new systems promoting the appropriate standards of cleanliness and hygiene. This had been maintained.

4, 5 June 2013

During a routine inspection

We spoke with nine people living in the home and with eight members of staff. People were happy with the service they were receiving. One person said, "I have no complaints" and this was the feeling of all people we spoke with. We observed people being supported sensitively, respectfully and patiently. People told us their care records were discussed with them.

Records were in place indicating that people's consent to their care and support had been discussed with them and they agreed to this. People said staff understood their care needs. This was confirmed in discussions with staff. People's care records were person centred and provided an overview of how they would like to be supported. Their likes, dislikes and routines were noted. Staff had a good understanding of these. One person told us, "if you need anything staff will get it for you, we only need to ask" and another said, "I feel thoroughly spoiled".

The home liaised with a range of social and health care professionals to ensure that people's needs were being met.

People said their flats were kept clean and they had furnished them with their own possessions. The home was well maintained and there were ample accessible communal areas.

Recruitment and selection processes were not effective and could potentially put people at risk of harm. Not all information was being obtained prior to appointment.

We found that the home was not always letting us know about incidents at the home.

28 December 2012

During an inspection looking at part of the service

Our inspection of 7th and 9th August 2012 found that people were not being protected from the risks of inadequate nutrition and dehydration. The provider supplied us with an action plan telling us how they planned to address this. They also sent us regular updates about their progress in meeting this plan including copies of new records being used and confirmation of staff training.

At this inspection we found that people's eating, drinking and nutritional needs were being monitored and reviewed. Systems were in place to make sure all people were weighed at least monthly. A screening tool was used to assess whether they were at risk of malnutrition. Staff had completed training in the use of this tool and were raising any concerns about weight loss or obesity appropriately. There was evidence that action was being taken to address any concerns. Other health care professionals were involved where necessary. This standard was being met.

We spoke with five people who were living in the home. People told us "the food is excellent", "food is fine. There are no problems" and "Christmas Day lunch was fantastic".

7 August 2012

During an inspection looking at part of the service

We visited the service on 7 and 9 August. We talked with eight people using the service and had feedback from four relatives of people living in the home. We also had feedback from other social care professionals.

People told us they were happy with their flats and with the quality of the food provided. They said they could attend residents meetings but most said they did not receive feedback about these meetings or any issues raised. One person told us, "I don't feel part of the place" and another told us, "I don't feel confident saying anything to managers".

Two visitors were happy with the service provided to their relatives and one said it was a "good place on the whole". One visitor had raised issues with the manager which had been dealt with to their satisfaction. Another visitor was concerned at how the home monitored and assessed the quality of service being provided.

Concerns were raised with us about Outcome 5 which we looked into as part of this inspection to review improvements.

26 April 2012

During a routine inspection

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We observed care being provided to four people.

During our visit we spoke with ten people living in the home. People told us, "You never feel like a problem to staff, they are happy to help", and "this place suits me because I have my independence and support when I need it".

One person told us they thought communication could be better. They were not always aware when people were visiting or events were taking place. Other people agreed with this.

One person said "If you can't be at home, this is the place to be!". Others confirmed they were happy with the care they received.

9 December 2011

During an inspection in response to concerns

People said they liked living at the home and the food was very good. They said staff were good. People told us they thought staff were very busy. Some people said they occasionally had to wait to have their call bell answered but staff tried to do their best. People said if they had concerns they would talk to staff who listened to them. They said any issues would be looked into and action taken. One person told us their relative would talk to senior staff if there were any problems. No one we spoke to during our visit had any concerns.

We observed people being supported by staff. Staff were respectful and sensitive to their needs. People were offered choices.

We had concerns raised with us about the quality of care and the way in which people were helped to move around.

13 September 2011

During an inspection looking at part of the service

We spoke to two people who looked after their own medicines. They told us that they were happy with this arrangement. One person told us that they liked to be in control of their own medicines. This person said they were able to contact their doctor and arrange to see them when they wished.

Other people told us that they were happy with how staff looked after and gave their medicines. One person commented that if their medicines were given late it would be their own fault because staff had not been able to find them.

No-one we spoke to raised any concerns about how their medicines were looked after.

13 April 2011

During a routine inspection

People told us, 'They take very good care of us here. The food is good and the staff help you if you need it. We get a choice every day.'

'It's lovely here. I'm taken care of. The food is great. They do everything for me. We have vegetables every day and pudding. There's a variety. I've put on weight since I've been here!'

'It's like living in a hotel. I can't think of anything you could improve on. '

'The food falls down a bit but I'm a bit fussy. But you can raise it at the residents' meeting and you can make snacks in your own flat too.'

One person said, 'The staff are very good, very caring. They keep my flat very clean. And you can always go to the office if there's a problem and they'll sort things out for you.'

Another person told us, 'Things are a lot better organised since the new manager came. She's picked up all of the snags and she's sorting them. It's more organised, tidier and cleaner.'

A person told us, 'The staff are alright. They work hard. Couldn't fault them. It's a hard job they do and they do it well.' Other people said staff are very caring, very helpful and approachable.