Background to this inspection
Updated
19 March 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team: This inspection was carried out by one adult social care inspector.
Service and service type:
Ar-Lyn 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. The service accommodates up to thirteen people. At the time of our visit there were 13 people using the service.
There was no condition of registration for a manager to be registered with the Care Quality Commission. The registered provider was in day to control of the service. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: This inspection was unannounced.
What we did: Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. We also contacted commissioners who had a contract with the service.
During the inspection we spoke with eight people and two relatives. We looked around the premises and observed staff interacting with people. We also spoke with the registered provider, the cook and two other members of care staff. We spoke with two healthcare professionals who had experience of the service and provided us with feedback during the inspection.
We looked at two care plans in detail. We reviewed three staff files and the training records. We also reviewed two people’s medicine administration records (MARs), staff duty rosters, and other records relating to the running of the service.
Updated
19 March 2019
About the service: We carried out an unannounced comprehensive inspection of Ar-Lyn Residential Home on 20 February 2019. Ar-Lyn is a ‘care home’ that provides care for a maximum of 13 predominately older people. At the time of the inspection 13 people were using the service.
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.
What life is like for people using this service: The management team and staff knew people well and understood their likes and preferences and health needs. Staff were aware of people's life history, and their communication needs. They used this information to develop positive, meaningful relationships with people. Relatives told us they were welcome at any time and any concerns were taken seriously and responded to.
People told us they felt safe. One person said, “The main thing is that I have someone to help me when I need it. It gives me piece of mind.” Staff demonstrated a good awareness of each person's safety and how to minimise risks for them. The environment was safe and people had access to appropriate mobility and moving and handling equipment as needed. There was enough staff on duty at the right time to enable people to receive care in a timely way.
People were supported by staff who had the skills and knowledge to meet their needs. Staff understood and felt confident in their role. One said, “I think we work well together as a team and feel supported.”
People, relatives, staff and professionals gave us positive feedback about the quality of people's care. Quality monitoring systems included audits, observation of staff practice and regular checks of the environment with examples of continuous improvements made in response to findings. People, their relatives and staff told us the registered provider was approachable, organised, listened and responded to them and acted on feedback.
More information is in Detailed Findings below
Rating at last inspection: The service was rated Good (report published 10 September 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection. At our last inspection we rated the service Good. At this inspection the service remained Good.
Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.