Archived: Arundel House - Paignton

Updated 17 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 1 December 2020 and was announced.

Updated 17 December 2020

About the service

Arundel House is a residential care home providing personal care for up to 12 adults who have learning difficulties and/or a physical disability. At the time of the inspection there were nine people living at the home.

The service has been developed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and coordinated person-centred support that is appropriate and inclusive for them.

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

People were supported by staff who had relevant training, skills and experience to understand the needs of the people they were supporting. Since the last inspection the provider had introduced a fully comprehensive induction training programme that all new staff completed within the first week of their employment.

Improvements had been made to the provider's quality assurance system to effectively identify any shortfalls. There was a variety of audits completed to ensure the quality of the service provision was maintained.

We were assured the service were following safe infection prevention and control procedures to keep people safe.

There was an open and transparent person-centred culture within the service. Staff were clear about their responsibilities told us they felt well supported, appreciated and valued.

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.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Staff closely monitored people's health and supported them to access appropriate healthcare services. Staff followed professional advice and helped people to improve their health and wellbeing. People's dietary needs were catered for and people told us they enjoyed the food.

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 21 August 2019).

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 was a planned inspection based on the previous rating.

We carried out an unannounced comprehensive inspection of this service on 14 and 17 June 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the governance and staffing training.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions 'Effective' and 'Well-led' which contain those requirements.

As part of this inspection we also looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Arundel House - Paignton on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service and take any necessary regulatory action, this may include carrying out another inspection of the service.