Regents Court Care Home

People could receive visitors without restrictions during the inspection.

“People were able to receive visitors without restrictions in line with best practice guidance.” from the report

An activities coordinator supported some people to go into the community and attend local activities.

“We did observe the activities coordinator supporting individual people out into the community and to attend activities in the local community.” from the report

People had some activities within the home, including a visit from an exercise coach.

“People were supported with activities inside the home, for example an external exercise coach had visited” from the report

Potential abuse incidents, including unexplained bruising and allegations of staff sleeping on night shifts, were not properly investigated or reported. Inspectors said this left people at risk of ongoing abuse.

“We found several incidents of potential abuse had not been reviewed, investigated and, where appropriate, reported to external agencies.” from the report

Important health risks were not covered by detailed care plans, and accidents and incidents were not recorded and reviewed consistently. Fire doors were also routinely propped open.

“Systems had not been established to assess, monitor, and mitigate risks to the health, safety and the welfare of people using the service.” from the report

Some staff giving medicines had not received the required training. Medicine records were not always completed promptly and medication errors were not properly reviewed.

“We found evidence of medication administration errors by staff had not been effectively reviewed by the registered manager and were not reported to safeguarding.” from the report

Staff did not always ask for consent before providing care. People's capacity and best-interest decisions were not consistently assessed or recorded.

“People's consent was not routinely sought by staff before carrying out care.” from the report

People were not always supported in line with their preferences, and some spent long periods alone. Communication needs and accessible information were not properly recorded or provided.

“People spent long periods alone, without engagement.” from the report

Audits were not regular or thorough and did not lead to effective action. Staff lacked regular supervision, and the provider did not have a reliable system for learning from problems.

“Robust quality assurance processes were not in place to support the care provision.” from the report