The Inspection took place on 30 August 2017 and 7 September 2017 and it was unannounced.

Sweyne Court is registered to provide accommodation and personal care without nursing for up to 43 older people, some of whom may be living with dementia. There were 40 people living in the service at the time of the inspection.

There was a registered manager in post. 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 2008 and associated Regulations about how the service is run.

At the last inspection in June 2016, we asked the provider to take action to make improvements to risks to people’s health and safety, their responsibilities under the Mental Capacity Act 2005 (MCA) and their quality assurance processes. The provider sent us an action plan and the actions have now been completed.

At this inspection, we found that people received safe care and support. Risks to people’s health and safety were fully assessed and had management plans in place to minimise any risks. People’s capacity to make decisions had been assessed and the outcomes were recorded. The registered manager and staff had been trained in the MCA and demonstrated a good knowledge and understanding of the Act and of how to protect people. Staff knew how to protect people from the risk of harm. They had received training and described how they kept people safe. There were sufficient staff who had been safely recruited, were well trained and supervised by the registered manager and senior staff.

People received their medication as prescribed. Medication management was good. There were clear systems in place for ordering, receiving and disposing of medication. People received their medication from trained staff whose competency to administer medication was regularly checked.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People told us they had a choice of food and drink that provided them with a healthy balanced diet. Staff were kind, caring and compassionate and they knew the people they cared for well. They respected people and ensured that their privacy and dignity was always maintained. People expressed their views and opinions and were supported to follow their individual hobbies and interests. People had access to a range of healthcare services and their healthcare needs were met. Advocacy contact details were available if needed.

People’s care needs had been fully assessed and the care plans and risk assessments ensured that people were cared for in a way they preferred. The care plans provided staff with the information that they needed to meet people’s needs and preferences and to care for them safely. People were confident that their concerns or complaints were listened to and acted on. There was an effective system in place to assess and monitor the quality of the service and to drive improvements.

This inspection took place on 7and 8 June 2016.

Sweyne Court is registered to provide accommodation with personal care to up to 43 older people, many of whom may be living with dementia related needs. There were 37 people receiving a service on the day of our inspection.

The manager had been appointed since our last inspection and had made an application to be registered with the commission as required. 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 2008 and associated Regulations about how the service is run.

Systems to manage risk and medicines needed improvement to ensure people’s safety and wellbeing was maintained.

Up to date guidance about protecting people’s rights had not been followed so as to support decisions made on people’s behalf and comply with legislation.

The provider's systems to check on the quality and safety of the service provided were not effective and had not identified the issues we found.

Staff were knowledgeable about identifying abuse and how to report it to safeguard people. Recruitment procedures were thorough.

People were supported by skilled staff who knew them well and were available in sufficient numbers to meet people's needs effectively. People had choices of food and drinks that supported their nutritional or health care needs and their personal preferences. Arrangements were in place to support people to gain access to health professionals and services.

People’s dignity and privacy was respected and staff were friendly and caring. Visitors were welcomed and relationships were supported.

People’s care was planned and reviewed with them or the person acting on their behalf. Staff knew people well and how to meet their needs and preferences. People were supported to participate in social activities that interested them and met their needs.

People felt able to raise any complaints and felt that the provider would listen to them. Information to help them to make a complaint was readily available.

People knew the manager and found them to be approachable and available in the home. People living and working in the service had the opportunity to say how they felt about the home and the service it provided and be listened to.

This inspection took place on 11 March 2015.

Sweyne Court provides personal care and accommodation for up to 43 older people who may be living with dementia. There were 33 people living in the service on the day of our inspection.

There was a manager in post who was in the process of registering with CQC. 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 2008 and associated Regulations about how the service is run.

People were safeguarded from the risk of harm and abuse. The staff and manager knew about safeguarding procedures and had applied them appropriately. Staff had managed risks to people’s health and safety well. People received their medication as prescribed. There were safe systems in place for receiving, administering and disposing of medicines.

The service had good recruitment practices and employed enough staff to meet people’s assessed needs. Staff demonstrated the knowledge and skills needed to carry out their work. They received an induction and ongoing training and support.

The manager had a good knowledge of the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS.) DoLS are a code of practice to supplement the main Mental Capacity Act 2005. These safeguards protect the rights of adults by ensuring that if there are restrictions on their freedom and liberty these are assessed by appropriately trained professionals.

People were supported to have sufficient amounts of food and drink to meet their needs. Risks to their health and safety had been assessed and the service had made plans for how they were to be managed.

People’s care needs had been fully assessed and planned for. The care plans provided staff with sufficient information about how to meet people’s individual and diverse needs and preferences and how to care for them safely. The service monitored people’s healthcare needs and sought advice and guidance from healthcare professionals when needed. Staff were caring, they treated people with dignity and respect and offered them choice and control over their lives.

People knew how to make a complaint and were comfortable in doing so. Complaints had been dealt with appropriately.

There were effective systems in place to monitor the quality of the service. The manager had sought the views of all of the relevant people and they had analysed the information that they received and made improvements as a result of the feedback.

People told us that they felt comfortable living in Sweyne Court. One person said; “I am quite content and have everything I need.” People also told us that staff treated them kindly. Many people at Sweyne Court were living with varying levels of dementia and were unable to tell us their views about the service. We saw however that they were comfortable and that staff interacted well with them. Staff spoken with had a good understanding of peoples' individual needs. People were treated respectfully and their individuality understood.

We found that people's needs were assessed and planned for to ensure that their individual needs would be met. People had opportunities through activities for stimulation and occupation.

We found that the service managed peoples' medicines well and safely.

People told us that the staff who worked at the service were good. One person said, "The staff are all lovely." We found that staff were supported through induction, training and supervision to have the skills and knowledge needed to carry out their role effectively.

Although some relatives have issues with the service which the provider was trying to address, most people told us that they were happy with the quality of the service provided. We found that the provider had robust processes in place to monitor the quality and safety of the service.

Most of the people we spoke with told us that they were satisfied with the care and support provided at the service and most said that the staff were helpful and considerate towards their needs. People told us that they were satisfied with the food provided and the daily menu choices. They said that their rooms were comfortable and that staff kept rooms clean and tidy.

One person told us that the staff were very good and they could not ask for more with regard to their support needs being met by the staff. Another told us that the staff were friendly and that they had no complaints about the home.

People with whom we spoke told us that the staff were hard working and caring, but often busy and at times short staffed. They said that they were happy with the care provided and liked the home and that staff were kind and polite.

They told us that they do not go out unless their relatives can take them. Whilst staff interactions with people were satisfactory, there can be long periods of no interaction, stimulation or activities.

The recent people’s survey highlighted that relatives were satisfied with the care provided. People with whom we spoke told us that the home is clean and they like their bedrooms.