Blenheim Court Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

The management team were clear about their roles and responsibilities and had an understanding of quality assurance. However, we found some concerns which had not been identified as part of the providers quality monitoring systems. Which resulted in a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Following feedback, the new management team gave us assurances the shortfalls would be addressed and included in future audits and new systems embedded into practice. The culture at the service required some improvement so people received person-centred care. The new management team understood the challenges and was transparent and open in their approach. They were actively seeking peoples and their relative’s views by holding meetings and audits at the service. Most relatives felt the service was managed well and were kept fully informed. Staff told us it had been a difficult time as there due to changes in management but felt better supported now with the new manager and support manager.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The management team were aware of their roles and responsibilities and the lines of accountability

The management team were aware of their roles and responsibilities and the lines of accountability. They were introducing new processes and systems to improve the service. Staff we spoke with were confident the new management team would make positive changes, they felt listened to and supported. There was no registered manager, the newly appointed manager and support manager had started in April 2024, they were open and transparent and were passionate about improving the service.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The management team had a strong commitment to improving the service. However, we found improvements were required to embed good practice.

New and improved systems to monitor the service, were being implemented to drive improvements and embed good practice. Some areas of governance were very good, we saw analysis of safeguarding and learn lessons to embed good practice. However, we found other areas still required work to improve the systems. For example, documentation for management of risks and infection control audits needed improving to ensure all areas for improvement were identified. The management team since our site visit have sent us updates evidencing improvements being made and assured us they are working to embed into practice.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The management team understood their duty of candour, to be open and honest when things went wrong. They were committed to improving the service. However. some areas still required improvements to ensure good practice was embedded.

The management team told us they had responded to the concerns raised by the local authority, staff and relatives. They were committed to learning and improvement of the service. The management had identified area for improvement and action plans were in place. However, we identified some areas that had not been identified that required improvement. For example, risk management. The culture at the service required some improvement so people received person-centred care. The management team understood the challenges and was transparent and open in their approach.