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Inspection Summary


Overall summary & rating

Good

Updated 15 September 2018

We inspected this service on 7 August 2018. The inspection was unannounced.

The service provides accommodation and personal care for up to 33 older people who may live with dementia. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is located in a residential area and the accommodation is split over five floors. Twenty eight people were living at the home on the day of our inspection visit.

There was a registered manager in post. 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. The registered manager was unavailable at the time of our visit, so our inspection was supported by the deputy manager.

At our previous inspection in February 2016, we rated the service as ‘Good’ overall but we identified processes to support good governance needed to be improved. At this inspection we found those improvements had been made. However, managers needed to be more consistent in the application of the Mental Capacity Act 2005 when there were restrictions in people’s care they may not have the capacity to consent to. The effectiveness of the service now ‘Requires Improvement’ but the service remains rated ‘Good’ overall.

People felt safe and secure living at Arden House. There were enough staff to provide safe care, although there were occasions when staff were very busy. There were risk management plans for each person that related to their abilities and the support they needed to minimise risks. Staff had received training in safeguarding people from abuse and understood their responsibilities to protect people from avoidable harm, neglect and discrimination.

Staff completed training to ensure they had the knowledge and skills to meet people’s assessed needs and deliver safe and effective care to people. Staff understood their roles and responsibilities and had regular individual meetings and observations of their practice to make sure they carried these out safely.

Care plans provided staff with the information they needed to meet people’s needs. People’s care and support needs were kept under review and staff were informed about changes in people’s care.

Staff worked well with other healthcare professionals and arrangements were in place to support co-ordinated care. Medicines were managed in accordance with good practice and people received their medicines as prescribed. There was a choice of food and people were supported to eat a nutritionally balanced diet to maintain their health.

The home was welcoming, clean and well-maintained. People were able to take part in a range of leisure activities to promote their physical and mental wellbeing as well as activities to encourage people to socialise and reminisce together.

Staff were caring and engaged positively with people. Staff supported people to maintain their independence and knew how to provide care in a dignified way that protected people’s right to privacy. Staff offered people choice and asked people if they would like support with anything.

People thought the home was well-managed and were happy with the care they received. Staff spoke positively about the leadership and availability of managers and senior staff.

The provider and registered manager conducted regular audits of the quality of the service to make sure people received safe. responsive care. They also responded to feedback they received from people to identify areas of development. The provider welcomed external scrutiny to improve the standards of care within the home.

Inspection areas

Safe

Good

Updated 15 September 2018

The service remains Good.

Effective

Requires improvement

Updated 15 September 2018

The service was mostly effective.

Staff had the knowledge and skills to meet people's individual needs and promote their health and wellbeing. Staff worked well with other healthcare professionals and arrangements were in place to support co-ordinated care. People had a of choice of nutritious food and drink throughout the day. Staff sought consent before providing care and treatment but managers needed to have a more consistent approach when there were restrictions in people�s care that they may not have the capacity to consent to.

Caring

Good

Updated 15 September 2018

The service remains Good.

Responsive

Good

Updated 15 September 2018

The service remains Good.

Well-led

Good

Updated 15 September 2018

The service was well-led.

People thought the service was well-managed and staff described their seniors and managers as visible and approachable. The provider had their own quality assurance systems and welcomed external scrutiny to improve the standards of care within the home. Feedback from people, staff and visitors was used to drive improvements and development of the service.