• Care Home
  • Care home

Allonsfield House

Overall: Requires improvement read more about inspection ratings

Church Farm, Campsea Ashe, Woodbridge, Suffolk, IP13 0PX (01728) 747095

Provided and run by:
Kingsley Care Homes Limited

Latest inspection summary

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Background to this inspection

Updated 19 September 2023

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors and a dementia specialist. An Expert by Experience spoke with relatives by telephone after the inspection visit. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Allonsfield House 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. Allonsfield House 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

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During our inspection visit, we spoke with 5 people and 5 relatives. We observed staff interactions with people, such as at lunchtime and when medicines were being administered. We spoke with 8 staff members including 2 operations managers, the registered manager, nursing staff, care staff, and administration staff.

We reviewed a range of records, including 6 people's care records, medicine records, 3 staff recruitment records and staff training. We also reviewed records relating to the management of the service including policies and procedures and audits.

After our visit we spoke with 8 people's relatives on the telephone.

Overall inspection

Requires improvement

Updated 19 September 2023

About the service

Allonsfield House is a residential care home providing personal and nursing care for up to 53 people. The service provides support to older people and those living with dementia. At the time of our inspection there were 48 people using the service.

Allonsfield House accommodates people across three separate units, each of which has separate facilities. Allonsfield Suite was the residential wing, Ashfield was the nursing wing and the dementia unit accommodated people living with dementia.

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

People were not always supported to take part in activities which were relevant to them, in particular people living with dementia. We observed people left unsupported for extended periods of time which meant they engaged in self-soothing activities.

The decoration and furnishing of the dementia unit was not designed to support people living with dementia. The decoration in the Allonsfield Suite was tired and in need of improvement. Improvements in this area were included in the service improvement plan.

There were sufficient staff to meet people’s needs. However, they were not always deployed effectively. We observed periods where people in the dementia unit were left without staff support. There was not always staff available in the dining rooms to support people if needed.

People were supported by safely recruited staff who had received training in how to support them safely and effectively. Staff were aware of the risks to people and were kept up to date with changes in people's care needs. Where accidents and incidents took place, appropriate actions were taken and reported on. Staff had received training in how to recognise signs of abuse and were aware of their responsibilities to report any concerns they may have. People were supported to receive their medication as prescribed.

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 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 requires improvement (22 October 2022).

Why we inspected

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

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.

Follow up

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