This inspection took place on 23 August 2018 and was unannounced, which meant the home did not know we were visiting. This was a comprehensive inspection. At the last inspection on 5 and 6 June 2017 the home was rated Requires Improvement and we found care and treatment were not always provided with the consent of the relevant person and staff did not always act in accordance with the requirements of the Mental Capacity Act 2005.Aden View is registered to provide accommodation and personal care for up to 46 people. There were 43 people living at the home on the day of our inspection. Aden View Care Home is a purpose-built building offering accommodation over two floors accessed by a passenger lift. All bedrooms have ensuite facilities. One floor is designated for people living with dementia. There are three communal lounges, dining rooms and bathrooms. Outside there is an easily accessible garden.
Aden View Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home had a registered manager who was available throughout our inspection. 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.
The registered provider’s monthly quality reports showed effective oversight of the premises. The registered manager had systems to monitor quality throughout the home however this was not always achieved. Accidents and incidents were monitored. Fire safety and building maintenance were well managed.
Some feedback had been sought to engage people, relatives and staff in the running of the service. Information from this was used to develop the service.
People and their relatives told us they felt safe living at Aden View Care Home. Staff confirmed they had received safeguarding training and were able to describe how to identify and report any suspected abuse or incidents.
Standardised risk assessments were used in care plans so risks to people’s health and safety could be effectively tracked and monitored.
People’s dependency was monitored regularly however staffing levels did not always support people’s needs. Recruitment processes ensured staff were employed who were suitable to work in a care home setting however induction records were not in evidence.
Medicines were administered safely and with due consideration to national guidance.
Staff were appropriately trained and knowledgeable about infection control procedures.
The registered manager had systems in place for monitoring accidents and incidents and ensuring learning from these was implemented and understood through regular staff meetings and supervisions.
Care plans contained some information about people’s history, their preferences in relation to physical needs and some information about their social and leisure activities. Some consideration had been given to people’s consent and their capacity to do so for a range of care and support needs. The registered provider was operating within the principles of the Mental Capacity Act 2005 and applications to lawfully deprive people of their liberty (DoLS) had been appropriately submitted to the local authority.
Training completion levels were generally good. The number of staff trained on fire safety was low. Staff supervisions were planned and taking place regularly. Communication between the registered provider, the registered manager and staff was good.
People were provided with a choice of food and drinks and some snacks were available at certain times during the day. People were not always supported to access this.
People were supported to receive access to healthcare which was demonstrated and recorded in care plans.
Dementia friendly signage was in evidence throughout the home. People’s bedrooms were personalised.
Staff were aware of the need to ensure people’s dignity and respect their privacy however this did not always take place. Staff were aware to support people’s independence wherever possible however this did not always take place.
You can see what action we told the provider to take at the back of the full version of the report. Full information about CQC's regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.