The White House Nursing Home Limited is a ‘care home’. People living in the home receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The home can accommodate up to 30 people in one adapted building and specialises in supporting older people living with dementia and/or with end of life care needs. At the time of our inspection 29 people resided at the home.

At the last CQC inspection of this home in April 2015 we rated them ‘Good’ overall and for all five key questions. In February 2016 ‘The White House Nursing Home Limited’ re-registered with us and therefore this inspection will represent the first time we have rated this ‘new’ provider. We have rated the home ‘Outstanding’ overall and for the two key questions, ‘Is the service responsive and well-led?’ We have rated them ‘Good’ for the other three key questions, ‘Is the service safe, effective and caring’.

The service had a registered manager who had been in post since February 2016. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People living in the home and their relatives were extremely positive about the quality of the care and support provided at The White House Nursing Home. People, relatives, community health and social care professionals and staff were also very complimentary about the service’s registered manager and company director (owner). They said they were both highly regarded by everyone and worked well together as a team, which had a positive impact on the quality of the service provided at the home. People and staff said the managers were ever present in the home, approachable and always interested to hear what they had to say about the White House Nursing Home including any suggestions people, their relatives and staff might have about improving practice there.

The managers ensured the company’s values and vision for the home were fully embedded in the service's systems and processes and demonstrated by staff through their behaviours and actions. There was clear oversight and scrutiny of the service. They used well-established quality assurance systems to ensure all aspects of the service were routinely monitored and could be improved for people. This helped them to check that people were consistently experiencing good quality care and support. Any shortfalls or gaps identified through these checks were addressed promptly.

Managers encouraged and supported staff to deliver high quality care and recognised and rewarded them when they demonstrated excellence in the work place. Staff told us The White House Nursing Home was an excellent place to work, were very proud of the high standard of care they provided there and felt well-supported by the managers. People and their relatives felt there was a strong commitment within the staff team to continuously improve and develop their working practices. This ensured staff continued to deliver high quality personalised care to people living in the home. All of the external health and social care professionals we received feedback from were very positive about the quality of service delivery and joint working arrangements.

People had access to a wide range of group and individual activities and events they could choose to participate in, which were tailored to meet their specific social needs and interests. This enabled people to live an active and fulfilling life. People who preferred or needed to stay in their bedroom were also protected from social isolation. People regularly participated in outings and activities in the local commu