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Inspection Summary


Overall summary & rating

Good

Updated 22 September 2017

Averlea Residential Home is a care home that can accommodate up to 14 older people, some of whom have a diagnosis of dementia. On the day of the inspection there were 13 people living at the service.

We carried out this inspection on 31 August 2017. At the last inspection, in July and August 2015, the service was rated Good. At this inspection we found the service remained Good.

People, and their relatives, told us they were happy with the care they received and believed it was a safe environment. People and their relatives commented, “I am happy with everything”, “Always seems very nice, clean and friendly”, “I like visiting, very nice place”, “My mum is safe living here and that has taken all the worry away” and “My friend is happy here.”

We observed that people were relaxed and comfortable living at the service. People had meaningful relationships with staff and staff interacted with people in a caring and compassionate manner. Comments from people and visitors included, "Wonderful staff here”, “We are looked after well”, “Staff go the extra mile” and “Staff are super, can’t fault them.” Staff ensured people kept in touch with family and friends. Relatives told us they were always made welcome and were able to visit at any time.

There were sufficient numbers of suitably qualified staff on duty and staffing levels were adjusted to meet people’s changing needs and wishes. Staff completed a thorough recruitment process to ensure they had the appropriate skills and knowledge. Staff had received training in how to recognise and report abuse. All were clear about how to report any concerns and were confident that any allegations made would be fully investigated to help ensure people were protected.

Safe arrangements were in place for the storing and administration of medicines. People were supported to take their medicines at the right time by staff who had been appropriately trained.

People had access to healthcare services such as occupational therapists, GPs, chiropodists and dieticians. Visitors told us staff always kept them informed if their relative was unwell or a doctor was called. Relatives commented, “They always ring me to let me know if my mother is unwell” and “Staff have managed my mother’s health conditions well since moving into Averlea. Staff arranged for an optician to visit to test her eyes.” A visiting healthcare professional told us, “Staff do a good job.”

Care plans were well organised and contained personalised information about the individual

person’s needs and wishes. Care planning was reviewed regularly and whenever people’s needs changed. People’s care plans gave direction and guidance for staff to follow to help ensure people received their care and support in the way they wanted.

Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care. These had been kept under review and were relevant to the care provided.

There was a wide range of meals on offer and staff were knowledgeable about people’s likes, dislikes and dietary needs. People told us they enjoyed their meals. Comments from people and their relatives included, “The food is good, more than enough”, “The food is exceptional” and “I have lunch here every Saturday and Sunday, it’s very nice.”

People were able to take part in some group and individual activities. These included playing cards, board games and singing sessions. One person told us, “I like to sing in the evening. We sing all the old Cornish songs.” Staff supported people to go out into the community to local shops and amenities. On the day of the inspection staff had helped one person to go to a hairdresser appointment, a short walk from the service.

Management and staff had a good understanding of the Mental Capacity Act 2005 (MCA) and how to apply the principles of the MCA in the way they cared for people.

People and their families were given information about how to complain. There was a management

Inspection areas

Safe

Good

Updated 22 September 2017

The service remains Good.

Effective

Good

Updated 22 September 2017

The service remains Good.

Caring

Good

Updated 22 September 2017

The service remains Good.

Responsive

Good

Updated 22 September 2017

The service remains Good.

Well-led

Good

Updated 22 September 2017

The service remains Good.