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Inspection Summary


Overall summary & rating

Good

Updated 31 October 2019

About the service

Avondene is a residential care home providing personal care to nine people older adults at the time of the inspection. The service can support up to 11 people. Avondene is a two-storey building that has been adapted to include a passenger lift, specialist bathing facilities and communal lounge and dining room.

People’s experience of using this service and what we found

Quality monitoring processes had been introduced that were effective in monitoring the management of risks to people’s health and wellbeing and driving sustainable improvements. Management of the service was visible, and person centred promoting an open and positive culture. A statutory notification had not been sent to CQC following a serious injury. The registered manager told us this had occurred due to other professionals involvement in the persons care leading to a misunderstanding of reporting responsibilities and they would review in light of this incident.

People felt safe and were supported by enough staff who had been recruited safely. Staff understood their role in identifying and reporting any concerns of poor practice. Risks to people had been assessed, monitored and regularly reviewed and staff understood the actions needed to minimise the risks of avoidable harm. People had their medicines administered safely. Best practice was not followed for medicines prescribed for ‘as and when required’ or self-administration. The registered manager told us they would review the medicine policy in line with best practice guidance.

People received care from staff trained to carry out their roles effectively. People had access to healthcare and staff worked with other health organisations such as district nurses to ensure effective health outcomes for people. People had their eating and drinking needs met and were provided with a choice of well-balanced, home cooked food. The environment was homely, providing personal space for people as well as communal areas to socialise. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People spoke positively about their care and felt involved in decisions about their day to day lives. People had their dignity, privacy and independence respected. Staff understood people’s individual communication needs and were knowledgeable about people’s life histories and family and friends that were important to them.

People received personalised care that reflected their assessed care needs and lifestyle choices. Opportunities were available to follow hobbies, interests and spiritual and cultural beliefs. People knew how to raise a complaint and felt listened to by staff.

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

Rating at last inspection (and update) The last rating for this service was requires improvement (published 8 November 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 31 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 31 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 31 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 31 October 2019

The service was well-led.

Details are in our well-led findings below.