Blenheim Court Care Home

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People were not always supported to make decisions and choices. Staff did not always encourage independence and we observed staff were task orientated in their approach and not person centred. Particularly at mealtimes. People’s care records contained current information about their social, cultural and spiritual needs and what activities they liked. The provider complied with legal equality and human rights requirements, including avoiding discrimination, having regard to the needs of people with different protected characteristics and making reasonable adjustments to support equity in experience and outcomes. The provider actively sought out the views of people and relatives to continuously improve the service.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People were not always supported to make decisions and choices. Staff did not always encourage independence and we observed staff were task orientated in their approach and not person centred. Particularly at mealtimes. This was addressed following our site visit. We received mixed feedback from people, some told us staff were lovely and took time and listened. Others told us staff spoke over them and were rushed. One person said, “Most of them [the staff] are excellent.” Another person said, ““If talking to a staff member, if they [the staff] don’t like what you say they turn their back and walk away.” We observed some staff were very caring, respectful and provided person- centred care, while others were rushed and did not communicate with people.

Management were aware of improvements required and were working with the staff team to embed good practice to promote peoples well- being and provide consistent person-centred care.

New quality monitoring and better supervision of staff was being implemented to drive improvements and ensure all care was delivered in a person-centred way meeting individual needs.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People had care plans in place that detailed their care and support required and any barriers to providing this. This ensured staff were able to meet people's needs. However, we found staff did not always document care and support provided to be able to effectively review to ensure needs were met and ensuring any potential risk was managed. Equality, diversity and human rights were covered in peoples plans of care and detailed how to respect these. Restrictions were clearly detailed in plans of care, and people’s capacity and where required MCA and DoLS were in place.

People are given a satisfaction survey to be completed with their family members or someone they trust. They can also voice their opinion through an advocate or by asking to have a meeting with managers. A recent survey highlighted that people would like more fresh fruits and this was implemented.

People’s care records contained current information about their wishes in relation to how their social, cultural and spiritual needs should be met. There was also a section in the care plan which recorded information around relationships and sexuality. The provider actively sought out the views of people to continuously improve the service so they received regular feedback from people and their relatives.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.