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Inspection Summary


Overall summary & rating

Good

Updated 20 September 2019

About the service

Acorn House – Croydon is a residential care home which can support up to 31 people in one adapted building. At the time of this inspection, the service was providing personal care to 16 people. This service is located next door to Acorn Lodge – Croydon, a residential care home which is managed by the same provider. As a result, staff often work across both services.

People’s experience of using this service and what we found

The quality and safety of the service had improved for people since our last inspection. The provider had made sure people’s needs were assessed prior to them using the service to help plan the care and support they needed. People’s records were now accurate, current and contained detailed information about them and their care and support needs to help staff deliver personalised care. Senior staff reviewed the care and support provided to people to make sure it continued to meet their needs.

Staff recorded better information about people to help senior staff check for any potential issues with their health and wellbeing. Staff supported people stay healthy and well. They helped people to eat and drink enough to meet their needs and to take their prescribed medicines. Extra help was sought for people if they needed this, for example, when they became unwell. Recommendations from healthcare professionals were acted on so that people received the relevant care and support they needed in relation to their healthcare needs.

Staff were more caring and attentive to people and people told us their needs were met by staff. Staff supported people to maintain their dignity, privacy and independence. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Activities at the service had improved and people were more stimulated and engaged. The provider was continuing to look at further ways to improve this aspect of the service for people.

Improvements had been made to recruitment practices to reduce the risk of people being supported by unsuitable staff. There were adequate numbers of staff to support people. People said they were safe. Staff knew how to safeguard people from abuse and how to manage identified risks to people to reduce the risk of injury and harm to them. Regular health and safety checks of the premises and equipment were undertaken to make sure they were safe.

Staff followed current practice when providing personal care and when preparing and handling food which reduced hygiene risks. Cleanliness and hygiene around the premises had improved since our last inspection and communal areas and people’s rooms were clean and tidy and free from odours. Some parts of the premises had been redecorated and there were a range of comfortable spaces for people to spend time in.

Staff received training to help them meet the range of people’s needs. The provider had identified that staff were not receiving regular supervision. All staff were scheduled to have a supervision meeting following this inspection. However, staff had opportunities to discuss their working practices at monthly team meetings. Senior staff used these meetings to make sure staff were clear about their responsibilities for providing high quality care and support to people.

People were comfortable raising concerns and making complaints when needed. The provider had improved the way complaints were handled to check these were dealt with in an appropriate way. Events and incidents were fully investigated and the provider kept people involved and informed of the outcome. Learning from investigations was acted on and shared with staff to help them improve the quality and safety of the support they provided. However, some decisions made by the provider in response to events and incidents did not always sufficiently protect the safety and wellbeing of people at the service. T

Inspection areas

Safe

Good

Updated 20 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 20 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 20 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 20 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 20 September 2019

The service was not always well led.

Details are in our well led findings below.