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Archived: Amberley Nursing Home


Inspection carried out on 2, 7 May 2014

During a routine inspection

A single inspector carried out this inspection. We spoke with one person who lived at the home and with the relatives of three others.

Below is a summary of what we found. The summary describes what we observed, the records we looked at and what people using the service, their relatives and the staff told us.

If you want to see the evidence that supports our summary please read the full report.

Is the service safe?

All of the relatives we spoke with told us that the provider’s staff cared for people in a safe and effective way.

The provider had effective systems to identify and manage risks to people’s health, safety and welfare and to make improvements where required.

Effective recruitment procedures were in place to ensure that staff appointed were suitably qualified and experienced and were of good character.

Procedures for dealing with emergencies were in place and staff understood these.

Procedures were in place to ensure people received a diet that was suitable for their individual nutritional requirements.

Is the service effective?

People’s care needs were properly assessed before they received care, which was delivered in line with their individual care plan. People’s care plans were regularly reviewed to ensure their needs were being met.

People’s relatives were happy with the standard of care provided and they told us that care was designed and delivered to meet people’s individual needs.

Is the service caring?

Three people’s relatives we spoke with were positive about the care provided. Their comments included, “The staff are brilliant”. “I have been extremely pleased ever since they were first admitted”. “Staff are patient and support my relative very well”.

People’s relatives also told us that they thought the staff treated people with respect and promoted their dignity.

Staff understood people’s needs and we saw they interacted with people in a caring and respectful manner.

Is the service responsive?

The provider informed people about how to complain and people’s relatives we spoke with said they knew how to do this. They also told us they were happy with people’s care and had not needed to complain. Records we looked at reflected this.

The service had recorded the details of accidents and incidents that had occurred. These had been investigated and the cause of the issues identified. Service improvement actions plans had been put in place. However, the details relating to accidents and incidents had not been collated. This meant that the opportunity to identify emerging trends had been lost.

People’s relatives told us that they thought the provider was responsive.

Is the service well-led?

A registered manager was in place.

The provider had an effective system in place to check the quality of care provided. Records showed that regular checks were carried out to identify and manage risks to people’s health, safety and welfare. Where improvements were needed, action plans had been put in place to deal with them.

The service worked well with other health and social care professionals to make sure people received the care they needed.

Inspection carried out on 25 November 2013

During a routine inspection

Amberley Nursing Home is a two storey building with care being provided on the ground floor, and the upper floor being used for administration. On the day of our visit there were fourteen people living there, all fourteen were in receipt of nursing care. The home was well maintained and provided suitable domestic living arrangements.

The people who live at Amberley Nursing Home had learning disabilities, and many were unable to answer questions or provide us with their views about living at the home. As a result we carried out a Short Observational Framework for Inspection (a SOFI) during this inspection visit. This involved a structured observation for a period of 45 minutes in the communal lounge. This enabled us to observe how the staff spoke with people who lived at the home, and how they offered help and support. Our observations showed that people were treated with respect, and that staff had good relationships with the people who lived at the care home. We saw that staff were making efforts to break down communication barriers and involve people in their daily lives.

We found that staff were well supported and there were good training opportunities available. The records showed that staff were well trained and had received the training related to their work and role that they should.

We also spoke with the registered manager and two members of staff, including a nurse. They said they liked working at Amberley Nursing Home, and they felt well supported.

Inspection carried out on 22 November 2012

During a routine inspection

There were 14 people using the service at the time of our inspection visit. Amberley Nursing Home provides a specialist service for people with learning difficulties and as such it was not possible for us to have meaningful discussions with everyone about their experiences or views of the service.

As it was not possible to speak with all of the people using the service, we used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We observed that people were supported by staff to make as many choices as possible regarding their daily activities, including at mealtimes and whilst doing activities.

We spoke with two people regarding the care they received at Amberley Nursing Home. One person told us “I like it here, its best for me” and another person told us they liked living there.

We found that staff were not receiving regular supervision or training. This is important as it would ensure that people were being supported by staff that were able to deliver care and treatment safely and to an appropriate standard.

Inspection carried out on 2 December 2011

During a routine inspection

Some people living in the home were unable to share their views with us.

People able to express their views spoke highly of the care and support they received, and felt their needs were being met.

People are given information to help them make choices and decisions about their lives, as staff explain things in a way they could understand.

One person told us ''I like living here as it is a friendly and happy place to live, where staff look after us well’'.

People felt that staff respected their privacy, dignity and independence. They also felt listened to and able to express their views and raise any concerns with staff if they were unhappy.

Relatives we spoke with praised the care and support their family member received. One relative described the service as ‘’Wonderful, everything from the food to the washing is brilliant; the staff do a great job’’. Another relative told us ‘’The home is very welcoming and the staff are supportive. They involve me in decisions about my family member’s care and inform me of any changes’’.

Reports under our old system of regulation (including those from before CQC was created)