Background to this inspection
Updated
8 March 2019
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This was a comprehensive inspection. The inspection was unannounced.
The inspection took place on 18 February 2019 by one inspector.
Prior to the inspection we checked the information that we held about the service and the service provider. This included statutory notifications sent to us by the registered manager about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send to us by law. We used all of this information to plan how the inspection should be conducted. We also contacted a local commissioner who contracts with the service to gain their views.
We spoke with three people using the service, a relative, the registered manager, the care manager, two care staff, the cook and maintenance person. We spent time looking at records, including three people’s care records, two staff files, medication administration record (MAR) sheets, staff training plans, complaints and other records relating to the management of the service.
Updated
8 March 2019
Avenswood Nursing Home provides nursing care for up to 19 people. It is a detached house with both single and double rooms. Some have ensuite facilities. Accommodation is provided over four floors accessible by using a stair lift. There is a garden to the rear of the building.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
A registered manager was 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 service maintained effective systems to safeguard people from abuse.
The service operated in accordance with the principles of the Mental Capacity Act 2005 (MCA).
Risk assessments, a plan of care and supporting care documents were completed to help ensure people’s needs were met by the staff.
People told us that staff treated them with kindness and respect and their consent was sought around daily activities.
Staff knew people well and had a good knowledge of their individual support needs.
Staff received training and support to ensure they were skilled in their job role and support people safely. This included a formal programme to promote and enhance staff’s knowledge and skills for the provision for end of life care.
Staff had been appropriately checked when they were recruited to ensure they were suitable to work with vulnerable adults.
People were receiving care and support which included advice from external professionals to maintain their health and wellbeing.
People’s dietary needs and requirements were assessed. People were offered a good choice of meals and they were complimentary regarding the food served.
The service had a complaints’ policy and procedure. The registered manager had responded to concerns raised in accordance with the complaints’ procedure.
Medicines were administered safely and audited to ensure the overall management remained safe.
Quality assurance systems and processes were in place to maintain standards and drive forward improvements.
Further information is in the detailed findings below.