Norton House Trading as Poole Beresford Ltd

We carried out an unannounced comprehensive inspection of this service on 8 May 2019. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve need for consent and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led which contain those requirements. We also looked at Safe as the evidence gathered at the last inspection under this key question contributed to the breach recorded in Well-led. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Improvements had been made to the systems for managing medicines and regular auditing meant these systems remained safe.

Systems were in place to make sure people were safeguarded from the risk of abuse. The provider had liaised with the local authority safeguarding team to revise and improve the safeguarding policy and procedures.

Systems for recruitment of new staff remained safe and people said there were enough staff available to meet their needs in a timely manner.

Clear processes were in place to prevent and control infection within the home. The provider had been proactive in following government and local guidance in relation to managing the COVID-19 pandemic.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The provider had made improvements in systems for assessing people's capacity to make decisions.

The provider assessed peoples' needs before they began to use the service and regular reviews took place to make sure care plans reflected people's current needs.

People's nutritional needs were assessed, and plans put in place to make sure they were met. People we spoke with said the food they received at the service was very good.

People were supported by a range of health and social care professionals to maintain their overall health and wellbeing.

Staff received the training and support they needed to care for and support people safely and effectively.

Changes in the management structure had been effective in improving quality assurance systems.

Analysis of accidents and incidents enabled the provider to learn lessons from previous events and implement positive change.

Feedback from people who used the service and their relatives had been analysed and produced in a format which gave people an overview of the responses received.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Norton House on our website at www.cqc.org.uk.