The Care Quality Commission
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Courtyard Mews

Overall: Inadequate read more about inspection ratings

The Nucleus Business and Innovation Centre, Brunel Way, Dartford, DA1 5GA 07368 327079

Provided and run by:
Tilda Healthcare Ltd

All Inspections

During an assessment under our new approach

We completed the assessment between 11 April to 14 May 2024. We found seven breaches of the legal regulations in the areas of Safe Care and Treatment, Safeguarding, Dignity and Respect, Good Governance, Staffing, Person Centred Care and Notification of Incidents. We found serious concerns around the assessment and management of risk to people’s health conditions. The registered manager and staff did not assess risks to people's health conditions and safety or mitigate them where identified. Information regarding people’s support needs and health conditions was not always used to produce complete and thorough care planning, and to provide appropriate guidance to staff. The provider did not ensure that people were protected from abuse. The provider did not have robust procedures and processes in place to that make sure that people were protected. Staff were not always aware of their responsibilities to prevent, identify and report potential abuse when providing care. Staff training was inadequate. Staff were not provided with the specialist training needed to understand and respond to many of the health conditions people lived with. This put people at risk. People’s environments were not properly assessed to ensure that any identified risks were mitigated. Infection control processes and practices were often poor. We found serious concerns regarding the leadership of the service. The was a failure to adequately assess the needs of the people they supported. Governance systems and audits were not effective in identifying or addressing areas for improvement. The registered manager was unaware of some of their regulatory responsibilities. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

16 March 2022

During a routine inspection

About the service

Courtyard Mews is a domiciliary care service providing personal care to people living in their own home. At the time of the inspection, they were providing personal care to 72 people. People using the service were older people and at the end of life.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

Feedback from the person we spoke with was positive. They were satisfied with the care provided by the care staff.

People received safe care and support from Courtyard Mews. The registered manager and staff we spoke with knew what their responsibilities were in relation to keeping people safe from the risk of abuse. The registered manager carried out home visits to ensure both staff and people were safe.

Care plans contained detailed risk assessments. This mitigated any identified risks. Environmental risk assessments were also in place, which identified and reduced any environmental risks to people and staff.

People’s needs were assessed prior to receiving support including their protected characteristics under the Equalities Act.

Robust recruitment processes were in place. This prevented unsuitable staff from working with people. Staff were skilled in carrying out their role. The registered manager ensured staff were appropriately trained.

Staff were caring and always protected people’s dignity and independence. Staff gave people choices in their care daily.

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. For example, Staff had the information they needed to support people to make choices. Staff knew people had the right to make unwise decision.

The service had an effective system in place to assess, monitor and improve the quality and safety of the services provided.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 31 January 2020 and this is the first inspection.

Why we inspected

This was a planned inspection based on the length of time since the service registered with us.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Courtyard Mews on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.