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Archived: Innisfree Rest Home

Reports


Inspection carried out on 17 September 2013

During an inspection in response to concerns

When we visited Innisfree 14 people lived there. We spoke with three of those people. They were positive about living there and about the staff. They told us that care workers were "lovely" and "knew their job". We also spoke with three relatives of people who lived there. Their comments included, "We are very pleased with the place" and "I have no reason to doubt their competence".

Prior to our inspection we had received reports that staff were not supported to safely administer medications and that the manager did not spend enough time at the service. Those concerns were not substantiated during our visit.

We had also received concerns that some care workers who led shifts did not have appropriate qualifications and that staff were not well supported. We found that although care workers had obtained suitable qualifications, significant numbers of staff had not completed up to date training in some areas. This included training which would support the safe moving and handling of people who required assistance to mobilise. We also found that on some recent occasions home had not had sufficient numbers of staff to fill places on the staff rota.

There was a range of opinion among care workers about the level of support they received. We found that they had not received regular opportunities for supervision, appraisal or staff meetings.

The records that we saw during this inspection were accurate, stored securely and retained for appropriate periods.

Inspection carried out on 29 April 2013

During a routine inspection

This was a planned inspection. We also followed up on concerns that we had from our last inspection on 21 September 2012. We found that the home had made improvements.

We spoke with five of the sixteen people who lived at Innisfree. We also spoke with three relatives, four staff and two visiting professionals. People we spoke with were satisfied with the service. One person told us “Everything here is very good, the staff are very pleasant”.

The people we spoke with had lived at Innisfree for some time and knew each other and the care workers well. Strategies were in place to meet people’s care needs. People’s care plans had been reviewed on a monthly basis or more regularly when required.

During our visit we saw that people were offered choices throughout the day which supported their independence and provided a meaningful quality of life.

We found that the provider had measures in place to ensure people received adequate nutrition and hydration.

Care workers were skilled and experienced with a good knowledge of people’s individual needs. We saw evidence that a staff recruitment procedure was in place.

Records were accurate and stored securely. Staff had a good understanding of their responsibilities under the Data Protection Act 1988.

Inspection carried out on 21 September 2012

During a routine inspection

We visited Innisfree Residential Home unannounced on 21 September 2012. There were 14 people living at Innisfree. Most people using the service were able to tell us about their experiences. We spoke with nine people living at the home and three relatives/visitors. We also spoke with the manager, cook and three care workers. We spent time observing care delivery in the communal areas and looked at all areas of the home. We also looked at a wide range of records, including care files, risk assessments, audits, staff training and rota, menus and complaints.

Staff promoted people’s independence. When we arrived people were going about their day as they wished. Some people were relaxing in the lounge or in their rooms. The atmosphere was calm and staff did not appear to be rushed.

All the people we spoke to living at the home were positive about their experience with comments such as “the staff are lovely and gentle” and “this is a good place to be”. One relative said that they were told by the manager that, “as this was now their relative’s home we should visit as often as we like and treat it like her home. We are always made to feel very welcome”. Another visitor said, “We are offered a drink as soon as we arrive and find the staff very welcoming”.

We saw that the home focussed on people's choice about how they wanted to live their

lives in a person centred way. Staff were aware of people's likes and preferences and there was good communication between the staff and people living there. Staff were well trained and knowledgeable about people's needs and how to meet them. However, we saw that two of the four care records that we looked at were not fully detailed to inform staff how to meet people’s needs. This meant that recommendations made by external health professionals were not clear in the care plans and staff were not always following them, which put people at risk of not having their needs met.

Reports under our old system of regulation (including those from before CQC was created)