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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 May 2017

This inspection took place on 5 April 2017 and was unannounced. A previous inspection had been undertaken in January 2017 where we had found two continuing breaches of regulations. These related to the regulations for Safe care and treatment and Good governance. The service had also been placed under organisational safeguarding because of a number of ongoing concerns. This inspection was undertaken to ensure people were being cared for appropriately and safely.

Ardgowan House Residential Care Home is the only location owned and run by Mrs A Jobson and is based in a residential area of Blyth in Northumberland. It provides accommodation for up to 10 people living with mental health issues, who require assistance with personal care and support. At the time of the inspection there were seven people living at the home.

This report only covers our findings in relation to the Safe, Effective and Well Led domains and the details around previous concerns and breaches of regulations. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Ardgowan House’ on our website at www.cqc.org.uk

The home is not required to have a registered manager because it is under the day to day supervision of the registered provider, Mrs A Jobson. A previously employed registered manager had recently left the service, although they had not formally deregistered with the CQC. Consequently their name appears on this report. Because of the organisational safeguarding concerns the provider had voluntarily agreed not to visit the home at the present time.

Because the registered provider had not been at the home a number of management issues, raised at the previous inspection in January 2017, had not been able to be addressed.

Issues regarding the safe management of medicines had improved. Maintenance of records had improved, with all entries now double signed and appropriate codes entered when medicines were not given. A local pharmacy adviser had recently visited the home and whilst highlighting some issues, felt the systems in place were adequate.

The home was clean and tidy. Communal towels, previously in use, had been removed from bathrooms and showers. Appropriate staffing levels were in place, including the addition of a sleep in care worker at night. Agency staff were used to support permanent staff, where appropriate.

Safety checks continued to be undertaken and fire systems were tested on a weekly basis. We checked with the home’s outside fire safety contractor that systems where still within appropriate checking dates.

The home was in organisational safeguarding and was regularly visited by the safeguarding team and other local authority staff. An update of all staff’s DBS certificates, previously started, had not been completed.

There was not always evidence staff had up to date training in the safe handling of medicines, although safety systems had been instigated by the deputy manager to manage the situation. Staff had received some additional training and most staff had received first aid and moving and handling training within the last two years.

The quality of food available at the home and choice of meals continued to improve. People were able to have breakfasts at whatever time they got up in the morning. People continued to be supported to attend health and social care appointments to maintain their health and wellbeing.

The day to day running of the home was being undertaken by the deputy manager. Staff and outside professionals felt the current situation was being managed well on a day to day basis. Other management issues, identified at the previous inspection had not been able to be addressed or progressed because the provider had not been at the home.

Whilst there had been improvements to the delivery of care at the home, we have not changed the current rating of the domains we looked at, or the service overall, because we wanted to be sure changes were sustained and the outsta

Inspection areas

Safe

Requires improvement

Updated 13 May 2017

The management of medicines at the home had improved; records of administration were complete and up to date. Medicines management had been reviewed by a pharmacy adviser.

The home was clean and tidy and appropriate staffing levels were maintained. Safety checks continued to be undertaken.

Effective

Requires improvement

Updated 13 May 2017

Some additional staff training had taken place, although staff training records remained unclear at times.

People were supported to have a range of food and meal options. They were supported to attend appointments with health and social care professionals.

Caring

Requires improvement

Updated 19 April 2017

The service was not always caring.

Personal and confidential records were not always kept securely.

We observed staff supported people with understanding and observed there were good relationships between them.

Staff regularly met with people to discuss their care and consider their future needs.

People told us their dignity and privacy was respected. People were supported to be as independent as possible and were encouraged to maintain personal relationships.

Responsive

Requires improvement

Updated 19 April 2017

The service was not always responsive.

People’s needs were assessed but care plans were not always detailed.

Reviews of care were often limited and did not always take place within designated timescales.

Some activities were available for people to participate in, although most individuals living at the home followed their own interests.

People told us they knew how to raise any complaints or concerns, but said they were happy at the home.

Well-led

Inadequate

Updated 13 May 2017

Because the provider was not currently in day to day charge of the home a number of previously identified issues had not been able to be addressed.

People, staff and outside agencies felt the deputy manager had worked hard to maintain the service.