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We carried out a review of the data available to us about Otterburn on 6 July We have not found evidence that we need to carry out an inspection or reassess our rating at this stage. This could change at any time if we receive new information.

We will continue to monitor data about this service. If you have concerns about Otterburn, you can give feedback on this service. We found the following examples of good practice. Guidance and information was available to staff via an interactive bespoke app which offered information around wellbeing and alternative support available otterburn park gay app staff. Arrangements for activities had been reviewed to allow people to participate despite COVID restrictions, this included a singer performing from the car park and tablet computers used for site wide activities such as karaoke.

See full summary of 18 January report See shortened summary of 18 January report About the service: Otterburn is residential care home that is purpose built and, provides personal care and nursing for up to 30 people across three separate units, each supporting 10 people.

These units are called Otter, Fox and Squirrel. Care and support is provided to people otterburn park gay app complex health needs including otterburn park gay app forms of dementia, physical disabilities, mental health needs and brain injury and neurological disorders. At the time of the inspection 29 people were living at the home.

Medicines were managed safely; infection control arrangements were effective in reducing cross infections and there were enough staff to support people and keep them safe. This was important as people otterburn park gay app complex and multiple needs. They respected people's dignity and privacy and promoted their independence. The provider upheld people's human rights. There was a positive, open and empowering culture. Rating at last inspection: The rating at the comprehensive last inspection undertaken on 23 and 24 November was Requires Improvement and the report was published on 22 February After this inspection we undertook a focused inspection on 20 June and the report was published on 10 August At the focused inspection we looked at how the provider had progressed areas of improvement to meet legal requirements.

Why we inspected: This was a planned inspection based on the ratings at the last comprehensive and focused inspection. The rating has improved to Good overall. Follow up: We will continue to monitor the service through the information we receive until we return, as part of the inspection programme.

If any concerning information is received we may inspect sooner. For more details, please otterburn park gay app the full report which is on the CQC website at www.

This inspection was done to check that improvements to meet legal requirements planned by the provider after our November inspection had been made. The team inspected the service against two of the five questions we ask about services: is the service well led and safe. Otterburn park gay app is because the service was not meeting some legal requirements. No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity so we did not inspect them.

The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection. At our inspection in November we identified that Otterburn was in breach of regulation in relation to medicines management and we asked the provider to take action to make improvements. This action has been completed. At this inspection we found that Otterburn had improved and was now meeting the regulation, but remained as requires improvement in the key area of safe.

People in otterburn park gay app homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Otterburn accommodates up to 30 people across three separate units, each supporting 10 people.

The home provides care and support to people with complex health needs including rare forms of dementia, physical disabilities, mental health needs and brain injury and neurological disorders. At the time of our inspection there were 27 people living at the otterburn park gay app. The provider is required to have a registered manager at Otterburn.

A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. At the time of our inspection. Otterburn did not have a registered manager but we are aware the acting manager had applied to register with us.

People were not always safe at Otterburn. People were safeguarded from potential abuse, and staff knew what to do to report any concerns. Staff had received training otterburn park gay app understood their role in relation to safeguarding people. Staff otterburn park gay app recruited safely and the acting manager had processes in place to support staff well.

There were good infection control measures in place at Otterburn, and the management had systems in place that meant that they were able to learn from accidents and incidents to help make sure they did not happen again.

The acting manager understood their roles and responsibilities otterburn park gay app relation otterburn park gay app the law and was applying to become the registered manager.

The quality of the care people received was monitored by the acting manager, and over seen by the provider to make sure there were on going improvements. The co-ordination between staff and other agencies was effective. People had support from staff who communicated well.

See full summary of 20 June report See shortened summary of 20 June report We carried out this unannounced inspection on the 23 and 24 November Otterburn is a care home with nursing. Otterburn provides care and support for up to 30 people with complex health care needs including rare forms of dementia, physical disabilities, mental health needs, brain injury and neurological disorders.

The home is divided into three ten bed units called Otter, Fox and Squirrel. Otterburn park gay app undertook otterburn park gay app comprehensive inspection of this home in November when we identified that improvements were needed throughout the service. We otterburn park gay app the home to require improvements in all five of our key question and identified three breaches of regulation.

We issued a warning notice in regard to the legal breach about Governance. This identified that the warning notice had otterburn park gay app met.

The home had not had a registered manager since February Failure to ensure a registered manager was in place is a breach of regulation. You can see what action we told the provider to take at the back of the full version of the report. The registered provider has recruited a new manager who has commenced the process of applying for registration.

Improvements were needed so that people could be confident they would receive their medicines safely and we found a breach of regulation. People told us, using words and gestures, that they felt safe living at the home. Staff demonstrated a good awareness of their role and responsibilities regarding protecting people and were confident a member of the management team would deal with any concerns reported.

People had risks relating to their care and treatment assessed and staff had guidance to refer to about how these should be managed. Sufficient staff were on duty to meet people's needs and recruitment was on-going to reduce the use of agency staff. Staff were employed through safe recruitment practices.

Staff told us they had received induction, sufficient training and on-going support. Some refresher training and training in otterburn park gay app areas was needed for some staff.

This had been identified by the provider and was in progress. We saw staff seek consent from people before providing personal care and respected their wishes.

People were supported in line with the Mental Capacity Act Relevant applications had been made and kept under review for people whose liberty was deprived. Improvements had been made to the choice and quality of food served and people had been appropriately supported with their specific dietary needs.

People were supported to access a range of healthcare services. Relatives were happy with the care provided by individual staff and told us that staff were kind and caring.

Staff enjoyed working at the home and many knew the people they supported well. Staff treated people with dignity and respect. Staff demonstrated they were knowledgeable about people's individual needs and preferences.

People's care records were written in a person-centred way and had been developed with the person or their relatives. Complaints received by the provider were acknowledged, investigated and responded to in line with their own policy.

Since our last inspection the provider had implemented additional support and monitoring to identify and act on issues at the home. The newly appointed manager had made a positive start in addressing some of the current issues and staff indicated morale had improved. Otterburn park gay app received supervision and were able to seek informal support when needed. People and staff were actively encouraged to share their thoughts and opinions about the service.

See full summary of 23 November report See shortened summary of 23 November report We carried out this unannounced inspection on the 06 April otterburn park gay app Otterburn provides nursing care and support for up to 30 people who may be living with a range of neurological conditions. At the time of our inspection 30 people were residing at the home.

The home is divided into three separate units, that accommodate ten people each. We judged the home to require improvement in all five of the key questions we inspect. This was because the systems in place to monitor the safety and quality of the service had not been effective, people could not be confident they would receive safe care and treatment and people could not be certain their needs relating to nutrition otterburn park gay app hydration would be well met.

Warning notices are one of our enforcement powers. This otterburn park gay app was planned and undertaken to look at the key questions of safe and well-led, to check that the action required in the warning notice had been taken, and to provide assurance that people using this service were now safe and receiving a good quality service.

This most otterburn park gay app inspection identified that the requirements of the warning notice had been met in full, and that people could be more confident that their needs would be met and their safety maintained. We received positive feedback about the difference this had made to people's quality of life and safety.

We did not look at the action taken to meet the requirement about nutrition and hydration.

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