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Archived: Ainsworth Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 April 2018

We carried out an unannounced inspection of Ainsworth Nursing Home on 20 and 22 February 2018.

At the last comprehensive inspection on 5 and 6 December 2016 the service was rated requires improvement. Whilst no breaches of the regulations were found the provider was asked to develop support systems for staff and checks to monitor and review the service needed embedding. At this inspection we found some improvements had been made, however monitoring of the service provision needed expanding upon.

Ainsworth Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Ainsworth Nursing Home provides nursing and residential care for up to 37 older people including people with mental health and dementia needs. The building is a large, converted former hospital, based in the Ainsworth area of Bury, Greater Manchester. Accommodation is separated into two units; one providing general nursing and residential care and the second provides nursing care for people living with dementia. All rooms are situated on the ground floor and are easily accessible. At the time of the inspection there were 25 people living at the home.

The registered manager had recently left the service. Therefore there was no registered manager at the time of this inspection. However the provider had taken prompt action to appoint a new manager to the position. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

During this inspection we identified five breaches in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have told the provider to take at the back of the full version of the report.

Effective systems to monitor, review and assess the quality of service were not in place to help protected people from the risks of unsafe or inappropriate care.

Robust systems were not in place to ensure people received their prescribed medicines safely.

Assessments and management of the environment need to be put in place so that potential risks to people are minimised.

Robust recruitment procedures were not in place to ensure the suitability of staff employed to work at the home. Sufficient numbers of staff were not always available at core times. Further recruitment was taking place so that better flexibility of support could be provided.

Further training opportunities were needed so that staff have the necessary skills and competencies needed to safely and effectively meet the needs of people living at the home.

We recommend the provider seeks advice from the Greater Manchester Fire and Rescue Service (GMFRS) about the safety and suitability of locks being used at the home particularly as some people were restricted from leaving the building alone. Relevant checks were completed with regards to fire safety. Arrangements had been arranged for an up to date fire drill to be completed.

Activities and opportunities were offered to people to help promote their health and wellbeing as well as maintain community links. Information in people’s ‘life story’ books were to be considered so that other opportunities could be introduced around people’s individual hobbies and interests. We recommend the provider also refers to current guidance when developing opportunities for people.

Suitable arrangements were in place for the recording and responding to any complaints or concerns. People and their visitors were not aware of the procedure in place but said they would speak with the manager or staff and felt confident their concerns would be li

Inspection areas

Safe

Requires improvement

Updated 27 April 2018

The service was not always safe.

The management and administration of people�s medicines was not safe.

Risks to people�s health had been assessed and planned for. Assessments and management of the environment need to be put in place so that potential risks to people are minimised.

Robust recruitment checks were not completed prior to new staff commencing employment. Staffing arrangements were to be reviewed so that sufficient numbers were made available at all times.

Systems were in place to ensure the safety and protection of people from abuse. Hygiene standards and equipment were also adequately maintained so that people were kept safe.

Effective

Requires improvement

Updated 27 April 2018

The service was not always effective.

Where people were being deprived of their liberty the provider had sought the necessary authorisation. Records evidenced that people and their relatives, where appropriate, had been involved and consulted with about their care and support.

Further training was needed to ensure staff are suitably qualified, competent and skilled to carry out their duties safely and effectively.

Suitable arrangements were in place to meet people�s nutritional needs. Relevant advice and support had been sought where people had been assessed at nutritional risk.

Caring

Good

Updated 27 April 2018

The service was caring.

People and their visitors spoke positively about the staff and care provided. Staff were seen to be polite and respectful towards people, offering lots of encouragement when providing assistance.

Staff spoken with demonstrated they knew people�s individual needs and preferences and were able to provide examples of how they encouraged people to be as independent as possible.

People�s records were stored securely so that people�s privacy and confidentiality was maintained.

Responsive

Requires improvement

Updated 27 April 2018

The service was responsive.

People�s assessed needs and wishes were detailed in people�s care plans providing sufficient information to guide staff on how they wished to be cared for.

Activities and opportunities were offered to people. Life history books detailing people�s hobbies and interests were to be used to enhance the activities and opportunities offered to people.

A review of records and comments from people and their relatives demonstrated that the provider listened and responded to people�s complaints and concerns.

Well-led

Requires improvement

Updated 27 April 2018

The service was not consistently well led.

A new manager had been appointed commencing work the day before the inspection. They were aware that an application to registered with the Care Quality Commission (CQC) was required.

Systems to monitor, review and improve the quality of service provided needed improving to help ensure people were protected from the risks of unsafe or inappropriate care and support.

The provider had notified the CQC as required by legislation of all events, which occurred at the home with regards to the well-being of people.