25 August 2021
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.
The inspection team consisted of one inspector.
Service and service type
Neville's Court is a 'care home'. People in care homes receive accommodation and nursing or personal care as 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
We carried out this inspection announced giving short notice to ensure someone was available to speak with us as this is a small care home.
What we did before the inspection
We spoke with the local safeguarding and commissioning teams.
We reviewed information we had received about the service since the last inspection. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with one person, the regional manager, the registered manager, a team leader, and one care staff member on the inspection. We also spoke with two visiting relatives. We reviewed two care plans, four Medicine Administration Records (MARS), staff files and a variety of records relating to the quality of the service.
After the inspection
We requested further information from the registered manager.
25 August 2021
About the service
Nevilles Court provides personal care for up to four younger adults living with a range of conditions. At the time of inspection four people were using the service.
People’s experience of using this service and what we found
The registered manager and staff team had made significant improvements at the home. We spoke with one person who told us, "I am in a much better place than I was when I first moved in."
Visiting relatives we spoke with said they enjoyed a good working relationship with the staff team saying, "We are treated as one of the family."
Care plans we viewed were person centred and we saw people's wishes were promoted. People were supported by staff who knew people well.
People told us the service promoted their well-being by ensuring their physical and mental health needs were well supported and monitored and records upheld this.
Infection control processes were embedded into the service and staff followed government guidance in relation to infection control and prevention practices, in particular, relating to COVID-19.
Quality monitoring systems had improved. Staff said the management team had made improvements and the culture had improved significantly. The service was working with local external partners such as the Care Academy, the local authority led training provider to develop staff skills further.
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. 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 14 October 2019) and there were two breaches of regulation. The provider completed an action plan after the last comprehensive inspection to show what they would do and by when to improve safe care and treatment and good governance.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements regarding safe care and treatment and good governance. This report only covers our findings in relation to the key questions safe, effective and well-led which contained those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Nevilles Court on our website at www.cqc.org.uk.
We looked at infection prevention and control measures under the safe key question. 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 coronavirus and other infection outbreaks effectively.
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.