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Amberley House - London Requires improvement

We are carrying out a review of quality at Amberley House - London. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 May 2020

About the service

Amberley House – London is a residential care home providing accommodation and personal care for up to 30 people aged 65 and over, some of whom may have dementia. At the time of the inspection there were 24 people living at the home. The home is a large adapted detached residential house. There is a well-appointed, large garden to the rear of the property.

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

People and relatives said they felt Amberley House was a safe place to live. Relatives praised the committed and caring staff team. Staff knew people well and people were treated with dignity and respect. Relatives talked of ‘banter’ and lots of laughing between people and staff. Staff understood how to work with people living with dementia.

There had been significant improvement since the last inspection. However, progress had been slow. Systems to adequately record and address accidents and incidents were not in place. There was a failure to ensure care documents and good management oversight of people’s care records was in place. Audits were not completed to show there was appropriate oversight of the home and to identify any concerns.

People received their medicines safely and on time. However, there remained some concerns around medicines management. We have made a recommendation around medicines. People’s risks were assessed, and staff understood how to minimise peoples known risks. There had been refurbishment of some rooms, furniture and flooring had been replaced in some areas. The home smelled fresh and clean. There was increased infection control measure in response to the coronavirus outbreak. The provider reacted quickly and appropriately to keep people safe.

Staff were well trained and supported through regular supervision and appraisal. People were provided with a choice of what they wanted to eat and drink. 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.

People were involved in planning their care where they were able. There were residents, staff and relatives’ meetings where feedback could be given. The home worked well in partnership with other healthcare professionals to ensure their care needs were met.

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

Rating at last inspection and update:

The last rating for this service was Inadequate (published 14 October 2019) and there were multiple breaches of regulation. We took enforcement action due to the significant concerns found. We imposed conditions on the providers registration. This meant the provider had to send us monthly reports on how they were addressing the issues found during the last inspection.

This service has been in Special Measures since 14 October 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

At this inspection we have found evidence that the provider still needs to make improvements. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Amberley House on our website at www.cqc.org.uk.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We are mindful of the impact of Covid-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and to hold providers to account where it is necessary for us to do so.

Inspection areas

Safe

Requires improvement

Updated 14 May 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 14 May 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 14 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 14 May 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 14 May 2020

The service was not always well-led.

Details are in our well-Led findings below.