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Andrin House Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 17 January 2020

About the service

Andrin House Nursing Home is a residential care home providing personal and nursing care to people in one adapted building. The service can support up to 37 people. At the time of inspection there were 30 people using the service.

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

People received their medicines safely from trained staff. Guidance for staff to follow when administering medicines to be taken 'as and when required' was not on all care files. We found thickener (used to reduce the risk of choking if someone had difficulties swallowing) in a person's room which meant not all medicines were stored securely.

Recording of kitchen cleaning and temperature checks had lapsed but we did not find any negative impact had been caused to people. Staff had been trained in infection control and used appropriate personal protective equipment (PPE).

Quality assurance checks were effective in most areas of the service. However, audit processes had not identified the issues with the kitchen checks or gaps in some records related to people's care, for example, repositioning charts.

We have made a recommendation about the quality assurance checks in the service.

People were cared for safely. Staff understood safeguarding procedures. Safe recruitment practices were followed to ensure staff were suitable for their roles. Lessons were learned when things went wrong.

People’s care files contained clear information about their care and support needs. Staff knew people well and had a good understanding of their wishes and individual preferences. People’s personal histories, preferences and dislikes, diversity needs such as cultural or religious needs and links with family were all considered within the care plans. Staff received training to meet people’s needs.

Where required, people were supported with their eating and drinking to ensure their dietary requirements were met. People were supported to promptly access health care services when needed.

There was on ongoing redecoration programme. Improvements had been made to the décor and environment since the last inspection.

People received support from consistent, compassionate staff. Staff were caring in their approach and had positive relationships with people and their relatives. People were treated with respect. Staff maintained people’s dignity and promoted their independence. Consent was sought before care was delivered.

The registered manager was committed to driving improvements of the service and ensuring people received high quality care. The management team were aware of their legal responsibilities and worked in an open and transparent way. Feedback was sought from people, relatives and staff.

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.

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

Rating at last inspection

The last rating for this service was requires improvement (published November 2018).

Why we inspected

This was a planned inspection based on the previous rating.

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

Requires improvement

Updated 17 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 17 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 17 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 17 January 2020

The service was well-led.

Details are in our well-led findings below.