Ivy Court

This assessment was completed to follow up on action we told the previous provider to take at the last assessment in January 2025. At that assessment, the provider was found to be in breach of 2 legal regulations in relation to safe care and treatment and good governance. At this assessment, we found sufficient improvement had been made to address the actions needed and the provider was no longer in breach of these regulations.

The provider had worked collaboratively and had addressed all concerns found at our last inspection. Governance systems had been effectively implemented. The management team had taken steps to improve systems regarding medicines and strengthened oversight.

Risks associated with people's care were identified and managed to keep people safe. People received their medicines as prescribed by staff who were competent in medicines administration. Staff were aware of their responsibility to protect people from abuse and harm, and to follow the principles of the Mental Capacity Act 2005 (MCA).

Care plans included people's life histories, personal preferences and outcomes. Care plans were reviewed and detailed. People were referred to health professionals when needed and advice was followed and recorded in care plans.

The provider was keen to learn and drive improvements and lessons were learnt when things went wrong. An effective system was in place to analyse accidents and incidents and trends and patterns were identified, and where necessary improvements were made and outcomes shared with others.

Staff communicated handovers of people’s needs efficiently. We observed staff serving lunch and found the mealtime experience was good; staff were engaged with people and offered choices and support as required. Staff were kind and caring and supported people to meet their needs in a person-centred way.

Staff and leaders worked well together to ensure consistency of care. There was clear leadership, and it was evident who the leaders were within the organisation. The improvements evidenced at this assessment needed to be sustained and embedded into practice so the provider and the service could continue their journey of improvement.