We undertook an inspection on 9 and 10 March 2017. This was an unannounced inspection.

Court House Care Home provides personal and nursing care. The provider is registered to accommodate up to 60 people. The home was split into three units; two were for older people and one for younger adults. Midsummer Unit provided accommodation for 25 older people. Beacon Unit provided accommodation for 16 older people. The third unit, Holly Bush Unit provided accommodation for 19 younger adults. On the day of our inspection there were 57 people living at the home.

There was a registered manager for this service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered providers and registered managers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People we spoke with said they felt safe at the home. Relatives told us their family members were supported in a safe way. Staff we spoke with recognised the different types of abuse. There were systems in place to guide staff in reporting any concerns. Staff were knowledgeable about how to manage people’s individual risks, these focussed on encouraging their independence in a safe way. People were supported to receive their medicines by staff that were trained and knew about the risks associated with people’s medicines.

Staff had up to date knowledge and training to support people living at the home. Staff always ensured people agreed to the support they received. The management team ensured people were supported in the least restrictive way and were assisted to make their own decisions where possible. People told us they enjoyed the food at the home and were encouraged to make their own choices. They explained that they were supported to make their own decisions and be as independent as they could. People and their relatives told us staff would access health professionals as soon as they were needed.

People said the staff and the management team were caring and always treated them with dignity and respect. People were supported in a way that respected their wishes and staff were aware of peoples individual needs and preferences. Relatives told us they were involved as part of the team to support their family member. Staff understood people’s human rights and adapted their communication skills to ensure people understood them. People said their cultural needs were met.

The staff team were adaptable to changes in peoples’ needs and knew people well enough to recognise when additional support was needed. All the people we spoke with and the feedback collected by the registered manager and provider said people were happy to be living at the home. People and their relatives knew how to raise complaints and the registered manager had arrangements in place to ensure people were listened to and appropriate action taken. Staff were involved in regular meetings and one to one time with the management team to share their views and concerns about the quality of the service.

The registered manager and the provider had systems in place to monitor the quality of care provided. The registered manager ensured there was a culture of openness and inclusion for people using the service and staff.