Summerfield Court is a 'care home'. People in care homes receive accommodation and personal care under a contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

Summerfield Court accommodates up to 17 people in a rehabilitation home for people who have acquired a brain injury. At the time of our inspection, 17 people were using the service. All bedrooms within the home had en-suite facilities and the provider also had an annex with three apartments which provided a more independent living environment for people planning to move into assisted living accommodation in the community.

This inspection took place on 24 April and 01 May 2018. The inspection was unannounced on the first day. This meant the staff and provider did not know we would be visiting. The second day was announced.

A registered manager was in post. 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.

Records were not always accurate to show when actions had been taken to improve the quality of care being provided and therefore, we have made a recommendation about records management.

People told us they felt safe and staff had a clear understanding of how to protect people from abuse or harm. Safeguarding and whistleblowing policies were in place which staff followed should concerns need to be raised.

Medicines were managed safely and we saw people received their medicines with signatures to show when they had been administered. ‘As required’ medicines were administered when needed and some people were supported to self-administer.

Risk assessment were completed and regularly updated to reflect people’s needs. Accidents and incidents were reported and actions taken to mitigate future risks. Safety checks had been carried out to ensure the home was safe and regularly monitored.

Staffing levels were sufficient to meet people’s needs. Robust systems were in place to ensure people working in the home were of suitable character.

The provider followed the Mental Capacity Act 2005 (MCA) guidance with capacity assessments, Deprivation of Liberty Safeguards (DoLS) applications made and court of protection orders followed. Staff also understood MCA guidance and supported people to make decisions when possible.

People were supported with their nutrition and health needs. Specific dietary plans had been created with health professionals for those that required further support. Health care professionals were involved to ensure people were supported in their recovery and advise staff on practice when needed.

Staff received sufficient training to ensure they could support people’s needs. Supervisions and annual appraisals were completed to promote development and staff told us they felt supported.

People living in the home spoke positively about the staff that supported them and thought of them as friends. People told us they were involved in all aspects of their care and were provided explanations to ensure they understood their care.

Staff respected people’s privacy, dignity and preferences. People’s wishes, likes and dislikes were considered when developing care plans and people were encouraged to remain independent to aid their recovery.

Care plans were person centred and focused on people’s independence and encouragement to move on from the home to assisted living environments within the community. Care plans were regularly reviewed in collaboration with people who were offered choices about how they wished to live their life.

The use of technology and accessible information was available for those people who needed it and improved communication between people.

Activities were actively encouraged t

This was an unannounced inspection carried out on 11 January 2017. At the last inspection in August 2015 we rated the home as requires improvement but found the provider met the regulations we looked at.

Summerfield Court provides a rehabilitation service for up to 17 people with an acquired brain injury. The service is situated in Bramley, which is on the outskirts of Leeds, and has on-site parking and a garden area. It is close to local shops and public transport. We saw the home had a gym room, pool table and art and creative writing space.

At the time of our inspection the service had a manager who was going through the registered manager’s process. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

At this inspection we found some aspects of medicines management were not always followed. Records did not always show when creams and lotions known as ‘topical medicines was applied and how often.

We saw from the staff records we looked at that supervision and appraisals had not been carried out on a regular basis. The manager told us staff supervision should take place at 3 monthly intervals.

We found there were enough staff to make sure people received appropriate care and support. Recruitment checks had been carried out on all staff to ensure they were suitable to work in a care setting with vulnerable people.

Staff knew how to keep people safe from the risk of harm and abuse; they had received relevant

safeguarding training and knew how to report issues of concern.

We found people's health care needs were met and relevant referrals to health professionals were made when needed.

People's nutritional needs were met. There were choices available on the menus and alternatives if people didn't like what was on offer. Nutritional risk was assessed and people’s weight was consistently monitored.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS). DoLS are part of the Mental Capacity Act 2005 (MCA). These safeguards aim to make sure people are looked after in a way that does not inappropriately restrict their freedom. We saw appropriate DoLS authorisations had been made for people the service had identified were likely to have their liberty deprived.

When people were assessed as lacking capacity, staff acted within the principles of the MCA and ensured important decisions were made within best interest decision making processes.

Staff had completed training to ensure the care and support provided to people was safe and effective to meet their needs.

People told us they were treated with kindness and compassion. Our observations of care and support confirmed this. People told us they were happy with the care provided.

Staff responded to people’s individual needs and delivered personalised care. People’s care plans and other records showed their needs had been initially assessed, and care was planned. However, we found care plans reviewed were incomplete and not always updated.

The home looked well maintained, clean and tidy, and checks were carried out to make sure the premises and equipment was safe.

A range of activities were offered for people to participate in and people told us they enjoyed these.

There were systems in place to ensure complaints and concerns were fully investigated. The manager had dealt appropriately with any complaints received.

A range of checks and audits were undertaken to ensure people's care and the environment of the home was safe and effective. These checks had identified the issues we noted around the management of medicines but the service had not responded robustly and these were still occurring.

We found one breach of the Health and Social Care Act 2008 (Regulate

This was an unannounced inspection carried out on 18 August 2015.

Summerfield Court provides a rehabilitation service for up to 17 people with an acquired brain injury. The service is situated in Bramley which is on the outskirts of Leeds and has on-site parking and garden area. It is close to local shops and public transport. We saw the home had a gym room, pool table and art and creative writing space.

At the time of this inspection the home had a registered manager. 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.

There were enough staff to keep people safe and staff training was comprehensive, however, the support staff received did not always equip them with the knowledge and skills to support people safely. Robust recruitment and selection procedures were in place to make sure suitable staff worked with people who used the service and staff completed an induction when they started work.

People were happy living at the home and felt well cared for. People enjoyed a range of social activities. There was opportunity for people to be involved in a range of activities within the home or the local community. People’s support plans contained sufficient and relevant information to provide consistent, person centred care and support. However, they were a little disorganised and difficult to find information. People had a good experience at mealtimes. People received good support that ensured their health care needs were met. Staff were aware and knew how to respect people’s privacy and dignity.

The support plans we looked at contained appropriate and decision specific mental capacity assessments. The applications for the Deprivation of Liberty Safeguards (DoLS) had been carried out appropriately. Staff members and the registered manager were knowledgeable about the DoLS procedures.

People told us they felt safe. Staff had a good understanding of safeguarding vulnerable adults and knew what to do to keep people safe. People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines safely.

The service had good management and leadership. People got opportunity to comment on the quality of service and influence service delivery. Effective systems were in place that ensured people received safe quality care; however, some information had not always been reported to the Care Quality Commission but had been reported to the local authority and fully investigated. Complaints were welcomed and were investigated or responded to appropriately.