A Care Home Transformation Group, chaired by our Chief Nurse, was established in June 2020 to oversee a programme of transformation and improvement across care homes.
In 2020/21 improvement work focused on Royston Court Care Home, a 60 bedded purpose-built Local Authority Care Home in North West Edinburgh providing care for frail elderly and people with dementia. This care home had several outstanding requirements and areas of improvement from previous inspections, which the Care Inspectorate condensed into 7 requirements and 7 areas for improvement in September 2020.
Our quality team worked with the care home to implement the Quality Management System approach to improvements. This included understanding the challenges and issues, getting to know the residents and their needs, and reviewing current processes, systems, documentation and reporting. The team also measured quality of care against the health and social care standards to identify areas for improvement. All staff groups were engaged in the plans for improvement and encouraged to develop and act upon change ideas.
An unannounced inspection in December 2020 showed an overall marked improvement across all areas with an indication that improvement is moving in the right direction, with grades expected to be higher at future inspections and if there is evidence of sustained improvement. Since the inspection in December there was another unannounced inspection in March 2021. Across these inspections all seven requirements and 5 of the areas for improvement were met. Further progress has been made around the requirements and areas for improvement and a sustainability plan has been developed to ensure the progress made will be maintained and built on.