Royal Leamington Spa Nursing Home

This assessment was undertaken to follow up on breaches of regulations identified at the previous assessment relating to the environment and good governance. At this assessment we found improvements and the provider was no longer in breach of regulations.

Since the last assessment, the provider had made significant improvements to the safety and environment of the home. Extensive work had been completed to address the concerns previously identified, including structural improvements that had been developed in partnership with relevant professionals and the fire service. Improvements had also been made to enhance the safety of the premises and ensure the environment was suitable to meet people's needs.

Improvements had also been made to governance and oversight arrangements. Systems were more effective in identifying, monitoring and addressing issues, providing managers with greater assurance regarding the quality and safety of care. The provider had strengthened its approach to auditing, risk management and quality assurance, resulting in better oversight of the service.

There were effective systems for monitoring accidents, incidents, complaints and safeguarding concerns, with learning used to drive improvements. Medicines were managed safely, infection prevention and control measures were effective, and systems were in place to assess and mitigate risks to people. Staff had taken on additional champion roles and demonstrated commitment to supporting improvements across the service.

People were supported by sufficient numbers of suitably skilled staff. Staff received training, supervision and support to carry out their roles safely and effectively. Staff spoke positively about the culture within the service and described good teamwork and visible support from the registered manager, nominated individual and senior leaders.

The registered manager encouraged feedback from people, relatives and staff and used this information to inform service improvements. The registered manager had also engaged with local networks, forums and external organisations to share learning, develop good practice and support the continued development of the service.