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Inspection Summary


Overall summary & rating

Good

Updated 22 May 2019

About the service:

Avalon EMI Care Home is a residential care home that was providing personal and nursing care to 18 people aged 65 and over at the time of the inspection.

People’s experience of using this service:

Following the last inspection, we met with the provider to confirm what they would do and by when to improve the key questions Effective and Well Led to at least good. We asked the provider to take action to make improvements to monitoring staff training and to mental capacity assessments, and this action has now been completed.

People told us that they felt safe living at the service. Care records provided detailed information around people's individual risks in order for staff to keep them safe from avoidable harm. Person centred care was delivered, giving people choice over their daily routines in line with their preferences.

Staffing levels were appropriately managed and people received care from consistent, regular staff. Enough staff were employed each day to meet people's needs and keep them safe. Our observations during the inspection showed that care was provided in a safe manner and staff were available when people required support.

Recruitment processes were robust. The necessary pre-employment checks were completed, and people received care from staff who were suitable to work in adult social care environments.

Processes and systems were in place to ensure people received their medicines when they needed them, from trained and competent staff.

People's overall health and well-being was effectively assessed and managed. Referrals were made to external healthcare professionals accordingly.

People made positive comments about the food they received. Menus offered a variety of home-made and fresh meals each day. People received support to eat their meals when they needed it.

People were supported in a kind, caring and compassionate manner. Staff were familiar with the support needs of the people they were supporting. Staff engaged in meaningful conversations with people to provide stimulation and reassurance.

The registered provider had a complaints policy in place. No complaints had been made since the last inspection.

People were encouraged to participate in a programme of activities.

The home was clean and hygienic. Health and safety measures were in place to ensure people lived in a safe, well-maintained environment.

More information is in Detailed Findings below

Rating at last inspection: Requires Improvement (Report published October 2018). At this inspection we found the overall rating had improved.

Why we inspected: We were due to inspect the service in October 2019, based on the rating of the previous inspection. However, the inspection was brought forward due to information of concern we received regarding low staffing numbers.

Follow up: No concerns were raised within this inspection. We will therefore aim to re-inspect this service within 30 months. We will continue to monitor the service through the information we receive. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Good

Updated 22 May 2019

The service was safe

Details are in our Safe findings below

Effective

Good

Updated 22 May 2019

The service was now effective

Details are in our Effective findings below.

Caring

Good

Updated 22 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 22 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 22 May 2019

The service was now well-led

Details are in our Well-Led findings below.