Buchanan Court, Harrow.Buchanan Court in Harrow is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, mental health conditions, physical disabilities and treatment of disease, disorder or injury. The last inspection date here was 12th November 2019 Contact Details:
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4th July 2018 - During a routine inspection
This inspection took place on the 4 & 9 July 2018. The first day of this inspection was unannounced and we told the service that we will return on the 9th July 2018. This was the first inspection of Buchanan Court since registering with the Care Quality Commission (CQC) in November 2017. Buchanan Court is a ‘care home’. People in care homes received accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Buchanan Court can accommodate up to 80 people in one adapted building. Buchannan Court is newly built and it is managed by Care UK Community Partnership a large social care provider in England. People using Buchanan Court may require nursing care, have dementia or require re-ablement. Re-ablement is a short and intensive service, which is offered to people with disabilities and those who are frail or recovering from an illness or injury. During both days of our inspection 31 people were using the service. Buchanan Court can carry out the regulated activities on four floors, however during the day of our inspections only two floors were in operation. During our inspections no manager was registered with the CQC. However, a new manager had been appointed and commenced employment on the first day of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. We found that medicines were not managed safely, for example medicines were not stored, documented and administered safely on occasions. We saw that the provider had a variety of quality assurance systems in place, however, we found that these were not always effective. One positive feature we found during our inspection was the highly effective cross sector partnership work between Buchanan Court, NHS and Clinical Commissioning Groups to reduce the time people stayed in hospital and received treatment by the multi-disciplinary team (MDT) to return to their own home. Staff had the appropriate skill and training to recognise and report poor practice and abuse. People who were at risk in relation to the treatment or care provided, had detailed guidance and assessments in place to minimise such risks. Most of the time sufficient staff were deployed to meet people’s needs. Appropriate recruitment procedures were followed to ensure people who used the service were protected from unsuitable staff. Staff followed appropriate infection control procedures and ensured the spreading of infections is minimised. Accidents and incidents had been documented, but we recommended that the service sought national guidance regarding analysing such events. Not all staff had received regular supervisions, however we received reassurance that once the new manager had settled in into her new role she would commence regular staff supervisions again. People’s needs were assessed by suitably qualified and experienced staff to ensure their health and social care needs were met. A choice of healthy, nutritious and tasty meals was offered to people who used the service and people who required additional help with their dietary needs were appropriately supported. People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice. People thought staff were understanding and respectful towards them. People using the service and their relatives spoke positively about the service and the care that the service provided. People said staff listened to them and involved people in decisions about their care. People told us staff respected
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