Rebecca Court is a residential care home for 38 people, some of whom may be living with dementia. The service also provides short term and respite care. This accommodation is provided in purpose built accommodation, over two floors. At the time of our comprehensive unannounced inspection of 15 January 2018 there were 28 people were living at the service.

At the last inspection of 1 September 2015 , the service was rated Good. At this inspection, we found the service remained Good.

People received support to take their medicines safely. Staff knew how to keep people safe from the risk of harm. Actions had been taken to reduce risks to people’s safety. There was enough staff to keep people safe and meet their needs.

Staff were competent to carry out their roles effectively and had received training that supported them to do so. People were supported to eat freshly prepared meals, and their individual dietary needs were met. People were able to access and receive healthcare, with support, if needed.

A major refurbishment programme was underway at the time of our visit, works already completed had improved the environment substantially. This included decorations that enhanced the natural light in the building, and colour schemes that would help people living with dementia to navigate around the home more easily. The registered manager had worked closely with people living at the service to gain their view and ask for suggestions about the works. They increased the amount of hours activities staff were available, so that people had plenty of choice of things to do, away from areas where the works were underway.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were kind and compassionate in the way they delivered support to people. People were treated with dignity and respect. Staff ensured that people were able to have visitors, and enabled people to maintain relationships with relatives and friends who did not live nearby.

People and their relatives were confident that they could raise concerns if they needed to and that these would be addressed.

The registered manager ensured that the home was well run. Staff were committed to the welfare of people living in the home. The registered manager ensured they kept links within the local community including schools and people were part of regular events.

Further information is in the detailed findings below.

Rebecca Court is registered to provide accommodation and personal care for up to 38 older people, some who are living with dementia. There were 37 people living at the home at the time of our inspection.

This unannounced inspection took place on 30 July 2015. At our previous inspection on 14 November 2012 we found the provider was meeting all the regulations that we looked at. We carried out a follow up inspection on 25 June 2013 following concerns we received in relation to the care and dignity people received. We found that these concerns were unsubstantiated.

At the time of this inspection the home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS applications had been made to ensure people’s rights were protected.

People’s needs were clearly recorded in their plans of care so that staff had all of the information they needed to provide care in a consistent way.

People were offered a variety of hobbies and interests to take part in.

Effective quality assurance systems were in place to monitor the service and ensure that people receive a good quality service. People’s views were sought and acted on.

Staff treated people in a way that they liked and there were sufficient numbers of staff to safely meet people’s needs. People received care which had maintained their health and well-being. Relatives we spoke with were very happy with the care provided to their family member.

Medicines were stored correctly and records showed that people had received their medicines as prescribed. Staff had received appropriate training for their role in medicine management.

Staff supported each person according to their needs. This included people at risk of malnutrition or dehydration who were being supported to receive sufficient quantities to eat and drink.

Staff respected people’s privacy and dignity.

People said that staff members were polite, kind and respectful. They confirmed that their privacy and dignity was respected. We found that staff members respected people’s wishes, while continuing to ensure their care needs were addressed. People told us that there had been an issue with laundry going missing and occasionally being worn by other people, but that this had improved recently.

People received the care and support they required to improve their health and well-being. Care records were written in enough detail and provided clear guidance to staff members and indicated when people had received treatment or advice from a health care professional.

We were told by people living at Rebecca Court that it was a good place. Everyone we spoke with praised the staff and we heard comments such as, “The staff are marvellous,” and, “They are wonderful, nothing is any bother.”

People said that the staff team treated everyone with dignity and respect and we saw examples of this during our inspection. The manager told us that safeguarding people from abuse was discussed during residents’ meetings. People we spoke with said they felt safe at Rebecca Court but they knew what to do if they were concerned that someone was not being treated properly.

People told us that staff understood their care needs and made sure they received the support they needed. We found that staff were attentive and responded quickly to requests for assistance.

Staff received regular training and support which helped to ensure they had the knowledge and skills to understand the needs of people using the service.

People using the service had opportunities to make their views known and influence the way the service was run. The manager had put systems in place to check that people received a quality service.