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Aarondale House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 May 2019

About the service: Aarondale House is a residential care home that provides accommodation and personal care. It has single and shared accommodation for a maximum of 20 people with needs relating to old age. Most people lived there permanently, and some people spent short periods of respite there. At the time of this inspection 18 people were living at the service.

People’s experience of using this service: Although people were protected from abuse we found the provider had failed to ensure safeguarding incidents had been reported to the appropriate authorities.

There had been a failure to ensure all legally required notifications had been submitted to the Care Quality Commission (CQC). People were exposed to unnecessary risk because the provider failed to operate effective governance systems that would identify shortfalls.

Safe recruitment processes were not always followed. We have made a recommendation about this. Staff received appropriate induction, training, and support.

People and their relatives told us they were happy with the service provided.

Staff understood the importance of providing person-centred care and had developed positive relationships with people. We observed staff to be friendly and polite. Staff took time to get to know people and had a clear understanding of, and how to support, people's individual needs.

Risk assessments had been completed and contained information to help guide staff about the support people needed to manage risks. These were reviewed regularly.

People told us they received their medicines as prescribed. Medicine records were clear and complete. Regular auditing of medicines meant any medication errors were prevented or immediate actions were taken in response.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Records confirmed people's involvement and where they were unable to consent the provider followed appropriate legislation to make sure any decisions made were in the persons best interest.

The dining experience for people was positive and people received sufficient food and drink.

Some people's records were more detailed and person centred than others. All people’s plans of care were being evaluated and transferred to a new electronic system at the time of the inspection.

People and their relatives told us they were confident if they had any complaints the registered manager would address them appropriately.

People knew the registered manager and provider and told us they had confidence in them. Staff said the registered manager was supportive and approachable.

We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around good governance. Details of the action we have asked the provider to take can be found at the end of this report.

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

Rating at last inspection: Requires Improvement (published 6 March 2018).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Enforcement: We found the provider failed to notify us of incidents which had occurred at the service which the provider is legally required to inform us of. More information is in detailed findings below. We are dealing with this outside of the inspection process and will publish a supplementary report once we know the action we will be taking.

Follow up: This is the fourth consecutive time the service has been rated Requires Improvement. We will meet with the provider following this report being published to discuss how they will make changes to ensure the provider improves the rating of the service to at least Good. We will re-inspect Aarondale House within our published timescales to see what improvements have been made.

Inspection areas

Safe

Requires improvement

Updated 10 May 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 10 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 10 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 10 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 10 May 2019

The service was not always well-led

Details are in our Well-Led findings below.