15 July 2021
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 Care Act 2014.
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.
The inspection team was carried out by two inspectors and an Expert by Experience. 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
Regency Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This 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 quality team, CCG, safeguarding and health protection teams who work with the service. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection-
We spoke with three people who used the service about their experience of the care provided. We also spoke with 15 members of staff including the regional manager, registered manager, deputy manager, nursing and care staff, maintenance staff, the activity co-ordinator and the chef.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at five staff files in relation to recruitment as well as health and safety checks.
Our Expert by Experience spoke with seven relatives by telephone about the care and support provided for their family member.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training records, health and safety records, quality assurance audits and policies and procedures.
15 July 2021
About the service
Regency Care Centre is a purpose built home over two floors with resident accommodation on both floors. The home comprises of three units named Springwater, Philips and Heaton. All bedrooms are single and have en-suite toilet facilities as well as several assisted bathrooms and toilets throughout the home. A passenger lift services the first floor. The home registered to accommodate 60 people. At the time of the inspection there were 55 people living at the home.
People’s experience of using this service and what we found
People and their relatives said staff were kind, caring and respectful and described them as ‘fantastic’ and ‘compassionate’. People said they were cared for in a way they wanted and needed. Interactions between people and staff were warm and friendly; this was observed during our visit.
Activities and opportunities, both in and away from the home, had been made available to promote people’s independence and social interaction, this included good links with community groups and the Church.
Management systems to monitor and review the service helped identify areas of continuous improvement. Recent improvements included the implementation of the new electronic care planning and medication systems, further training and development opportunities to enhance the skills of staff, a formalised programme of activities as well as refurbishment of the physical environment.
Electronic care planning records reflected people’s needs and preferences as well as areas of risk. Staff said these were more effective and enabled them to accurately maintain care records. 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.
Recruitment checks were carried out prior to staff commencing employment. A range of training and development opportunities were provided to support progression as well as provide further flexibility in the services provided. Sufficient numbers of staff were available to effectively meet the needs of people.
People were provided with a good standard of accommodation that was well-maintained. Suitable aids and adaptations were available to aid people's mobility and promote their safety. Servicing and maintenance checks were carried out to ensure the premises and equipment were kept safe.
Good hygiene standards were maintained throughout the home. Government guidance in relation to COVID was being adhered to.
People received their medicines as prescribed. Shortfalls found during the inspection were addressed by the registered manager. The implementation of a new electronic medication system would minimise the risk of such errors being made.
People were offered balanced and nutritious meals. Kitchen staff were aware of people’s dietary needs. People had access to relevant healthcare professionals where risks to their health and well-being had been identified.
Systems were in place for the recording and reporting of any safeguarding concerns and complaints. People, their relatives and staff were confident their views were listened and responded to.
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 18 December 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 17 August 2018.
Why we inspected
This was a planned inspection, as a new provider, in part due to concerns received about the management, staffing and areas of care and support. As this was the providers first inspection, we reviewed all five key questions.
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.
We found no evidence during this inspection that people were at risk of harm from this concern.
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.