Summerville House

Updated 10 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by an inspector, and an assistant inspector.

Service and service type.

Summerville House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also received feedback from local authority professionals who are involved with the service.

We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, the regional director, care staff, activity staff, the cook and housekeeping staff.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were also reviewed.

We also spoke with the provider’s managing director who is the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 10 April 2020

About the service

Summerville House is a residential care home providing personal and nursing care to 25 people aged 65 and over at the time of the inspection; some people were living with dementia. The service can support up to 26 people in one adapted building on two separate floors.

People’s experience of using this service and what we found

Improvements had been made to ensure people received safe care. Risks to people had been assessed and actions taken to mitigate them. Staff had received training in keeping people safe from the risk of abuse and knew what to look for and what actions they needed to take. Medicines were managed safely for people. There were enough staff on duty to keep people safe and recruitment processes were robust. The service was clean, and staff had the training and equipment needed to reduce the risk of the spread of infection. If things went wrong, action was taken to review the incident and any learning from this was used for future planning.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Although further work was needed to ensure records accurately reflected where people lacked capacity and who had been given legal powers to make decisions on their behalf.

Improvements had been made to the provision of meals and the choice that people could have. The registered manager had arranged a range of face to face training for staff to complete, which had improved staff competence and confidence. People’s needs had been assessed before moving in to the home. The décor of the service had been improved to make the home feel cleaner, brighter and more suited to the needs of people living with dementia.

Staff were kind, caring and took time to promote people’s independence. Staff knew about people’s life experiences and history. This were used to meet people’s preferences, likes and dislikes. Staff promoted people’s dignity, and ensured they treated those they supported with respect.

Improvements had been made to the range, frequency and quality of activities and entertainment provided. This included ensuring people living with dementia had access and that these activities were meaningful. Complaints were managed within the provider’s own procedures and were used to drive up quality and learning. End of life care planning took place for people who wished to do this, and staff were accessing enhanced training in this area.

The registered manager had provided much needed improvements to the quality of service provided. This had been very well received by people, relatives and staff. Improvement work was on-going, and there was a plan in place to measure this, with timescales for completion.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published February 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.