• Care Home
  • Care home

Aldbourne Nursing Home

Overall: Good read more about inspection ratings

South Street, Aldbourne, Marlborough, Wiltshire, SN8 2DW (01672) 540919

Provided and run by:
Aldbourne Nursing Home Limited

Latest inspection summary

On this page

Background to this inspection

Updated 16 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 30 January 2022 and was announced. We gave the service 48 hours’ notice of the inspection.

Overall inspection

Good

Updated 16 February 2022

About the service: Aldbourne Nursing Home is a care home that is registered to provide personal and nursing care to up to 40 people. At the time of the inspection, 31 people were living at the home.

People’s experience of using this service:

People were happy with the care they received and complimentary about the staff. People could follow their own routines and take assessed risks. People’s privacy and dignity was promoted although not all had been asked about the gender of staff supporting them. People enjoyed the meals, which were based on preferences and fresh produce. People received regular support from a range of health and social care professionals to remain healthy. People were encouraged to give their views about the service and could join in with a range of social activities. There were strong links with the local community and the home was very much considered part of the village.

Trained staff administered people’s medicines and their competency was assessed. However, information about “as required” medicines was limited in detail. This did not ensure the medicines were administered as prescribed and to maximum effect. Records did not show people’s topical creams had been appropriately applied.

Whilst staff asked people’s consent before interventions, records did not show the principles of the Mental Capacity Act 2005 had been followed. Information was limited in detail and did not show the least restrictive options had been considered.

Risks to people’s safety had been identified yet records did not always show action had been taken to minimise these. For example, food and fluid monitoring charts were not consistently completed or analysed. Information did not always show people had been repositioned, as per their care plan, to minimise risks of pressure ulceration.

Focus was being given to the building and extensive building work was being completed. This was to enhance people’s communal space and included a new dining room, hairdressing room and activities room. Whilst all areas were light and airy, the corridors lacked colour and signage to help people find their way around more easily. The home was clean and there were no odours.

There were enough staff to support people. Staff had received training in areas such as safeguarding and fire safety, as well as topics associated with health conditions and older age. Work had been completed regarding staff’s strengths and learning styles to ensure a good skill mix within the team. Staff felt well supported and received one to one meetings with their supervisor to discuss their role. Safe practices were followed when recruiting new staff.

There was a strong management presence and a clear desire to ensure people received a good standard of care. Daily ‘walk arounds’ and regular audits took place but shortfalls with people’s documentation had not been identified. There was a strong caring ethos, which was adopted throughout the staff team.

Rating at last inspection: At the last inspection on 5 and 6 July 2016, the service was rated as Outstanding. The report of this inspection was published on 10 August 2016.

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

Action we told provider to take: We made two recommendations as part of this inspection. This was to improve the content of Mental Capacity Assessments and the information regarding “as required” medicines and the application of topical creams.

Follow up: We will monitor all intelligence about the service and complete another inspection in line with this and our frequency of inspection guidance.

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