Updated 12 February 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
The Adelaide is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period of notice for the inspection because we needed to be sure that the registered manager would be available to support the inspection.
Inspection activity started on 21 January 2022 and ended on 28 January 2022. We visited the service on 21 January 2022.
What we did before the inspection
Before the inspection we reviewed the information, we had about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with one relative and 12 people who were receiving, or who had recently received a service at The Adelaide about their experience of the care provided. We spoke with one housekeeper, six care staff and two assistant managers. We also spoke with the registered manager and group manager. We carried out observations of people's experiences throughout the inspection. We viewed the environment, looked at medicines management systems and records, recruitment records for three staff and assessed how the home was managing infection prevention and control. We looked at four people's care plans, individual risk assessments and daily records of care that had been provided for people.
After the inspection
We continued to seek clarification to validate evidence found. We reviewed additional information provided by the registered manager. This included a variety of records relating to the management of the service, including accident and incident records and policies and procedures, audits and information about staff training and support were reviewed.
We received information from three health and social care professionals. We spoke with the
provider’s nominated individual and clarified further information with the registered manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider.