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Archived: Ardgowan House Residential Care Home (Mrs Annie Jobson) Requires improvement

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Inspection report

Date of Inspection: 4 July 2014
Date of Publication: 6 August 2014
Inspection Report published 06 August 2014 PDF | 97.88 KB

Overview

Inspection carried out on 4 July 2014

During a routine inspection

We considered all the evidence we gathered under the outcomes we inspected. We used the information to answer the five questions we always ask;

• Is the service caring?

• Is the service responsive?

• Is the service safe?

• Is the service effective?

• Is the service well led?

Below is a summary of what we found:

Is the service caring?

We saw that people’s needs were assessed and care delivered in line with their assessed needs. We saw that people had access to outside professionals such as doctors, dentists and opticians.

We observed that staff responded in a caring and compassionate way to people’s needs and had a good understanding of people’s individual likes and dislikes.

People we spoke with told us they were happy with the care they received. One person told us, “I like this place very much, you get well looked after.” Another person told us, “I have no concerns about living here. It is okay.”

Is the service responsive?

People’s needs were assessed and their care plans reviewed and revised in line with the changing needs. One person told us, “(Key worker) sits down and goes through the plan so I always know what’s in it.” Another person told us, “(Key worker) sits down with us once a week and checks that everything is still ok.”

People we spoke with told us that they generally liked to do things for themselves but that there were activities, if they wished to join in. One person told us about trips to the theatre and how they had been to a local church to participate in an event. One person told us, “There are trips out, if you want to go; but I’m not a group person, I’m a bit of a loner.”

Is the service safe?

Audits of safety systems were in place and the building was clean and tidy.

We found that windows on the upper floor of the building did not have restrictors in place or the window restrictors had been disconnected. A compliance action has been set in relation to this and the provider must tell us how they plan to improve.

We saw that night shifts were covered, on some occasions, by only one member of staff. The manager told us that no risk assessment had been undertaken in relation to this, to ensure people could be effectively cared for or supported in the event of an emergency. A compliance action has been set in relation to this and the provider must tell us how they plan to improve.

The CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The manager told us that no applications have needed to be submitted and people’s care plans reflected that the issue of capacity had been assessed and considered. All people using the service were assessed as having the capacity to make decisions about their life in line with the Mental Capacity Act 2005.

Is the service effective?

People we spoke with told us they were happy with the care they received. They told us that staff were always available if they had any concerns. People told us, “I do chat to (care worker) if I am worried. She is a nice understanding person” and “If I am worried about anything then I would chat to someone.”

We saw that care issues were discussed at staff meeting and changes to care implemented on the back of discussions. We saw one person was being helped to manage their smoking through changes suggested by staff.

Is the service well led?

The home had a range of quality assurance systems in place to monitor the quality and consistency of care and the environment of the home. We saw copies of documents regarding checks on medication, fixtures and furnishings, smoke alarms, water temperatures and electrical systems.

People who used the service confirmed that there were regular residents’ meetings and we saw copies of notes from these meeting.

Staff confirmed that staff meetings took place and we saw minutes from these meetings. Staff we spoke with told us there had been no recent supervision sessions and that they had not been given an annual appraisal within the last twelve months. The manager confirmed that these had not taken place. A compliance action has been set in relation to this and the provider must tell us how they plan to improve.