Number 9 Anson

Updated 6 February 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was completed by 1 inspector.

Service and service type

9 Anson is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. 9 Anson is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. Due to technical problem, the provider’s Provider Information Return (PIR) was not available to the inspector prior to the inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed a copy of the PIR during the inspection.

We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service. Some people using the service did not want to communicate with us. We observed interactions between people and the support staff throughout our inspection.

We spoke with 9 members of staff including the nominated individual, registered manager, nurses, senior support workers, support workers and activity coordinator. We also spoke with 4 professionals who worked with the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records, including 3 people’s care plans and medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance, complaints and safeguarding were reviewed.

Updated 6 February 2024

About the service

9 Anson is a nursing home providing personal and nursing care to up to 20 people. The service provides support for people who have enduring mental health needs. At the time of our inspection there were 15 people using the service.

People’s experience of the service and what we found:

People received their medicines as prescribed. We have made a recommendation to follow best practice in observing people taking their medicines.

Care records identified people’s preferences, support needs and potential risks. Guidance was provided to manage these risks, which was regularly reviewed. People and relatives were complimentary about the staff and said communication with the home was good. Staff respected people’s privacy and dignity. They understood and responded to people’s individual needs. The home was clean throughout, and PPE was used appropriately.

Staff were safely recruited and there were enough staff to meet people’s needs, including accessing the local community. Staff received the training they needed for their roles. Additional breakaway training was being organised by the registered manager. Staff felt well supported by the management team.

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. Where appropriate, people had advocates to act on their behalf.

People were supported to maintain their health and nutritional intake. Referrals to medical professionals were made appropriately. Where required, people were supported to attend medical appointments.

A quality assurance system was in place, with a range of audits being completed. Incidents were recorded, reviewed and discussed in staff handover meetings.

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

Rating at last inspection

The last rating for this service was Good published 16 May 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made a recommendation to follow best practice in observing people taking their medicines.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.