Compton House Christian Nursing Home

The home was not always consistently and effectively managed by leaders. Changes in management, revised management structure and governance responsibilities, system changes and inconsistent delivery of quality assurance processes had meant that leaders did not always have consistent and organised oversight of the home.

Improvements were needed on the homes approach to assessing people’s capacity while more work was needed to be completed to ensure that staff had the skills and readiness to support people living with dementia.

Whilst there were improvements needed to governance structures, care systems, staffing culture, and quality assurance systems, we found that this did not impact on the care being provided. Staff treated people as individuals. People were encouraged to maintain relationships with family and friends. Staff responded to people in a timely way. People received personalised care that was tailored to meet their individual needs, preferences and choices. Care plans were now detailed and guided staff about people's needs and how to meet them. Concerns and complaints were listened to and used to improve the service they received.

Staff provided safe, effective and responsive support. Systems and processes were in place to mitigate the risk of harm to people and to protect them from abuse. Staff understood their responsibilities in reporting potential safeguarding issues, while the provider understood their regulatory responsibilities. People were involved in the management of risk to their care and support. People were supported by enough staff. Appropriate infection control procedures were in place and the environment was kept clean and a safe place for people to live.

People were involved in assessments of their needs which took into account people’s communication, personal health and any equality needs. Staff monitored people’s health to support healthy living. Staff made sure people understood their care and support needs which enabled them to give informed consent.