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Ambleside Bank Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 16 June 2018

Ambleside Bank Care Home is a ‘care home’. People in care homes receive accommodation and nursing or 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 situated close to Wigan town centre and is registered to provide accommodation for up to 40 people who require personal care and support. At the time of this inspection 36 people were living at the home.

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.

During the last inspection, although the home was rated as good overall, it was rated as requires improvement in the key line of enquiry (KLOE) effective, as we identified a breach of the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was in relation to staff training. During this inspection we found the provider had addressed the previous regulatory breach and was now meeting all requirements of the regulations.

The service had a registered manager. 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.

People told us they felt safe living at Ambleside Bank Care Home. Relatives were also complimentary about the standard of care provided. We saw staff had received training in safeguarding and were clear about how to report concerns.

People, relatives and staff all confirmed enough staff were on duty to safely meet needs. Staffing levels were based on people’s dependency levels and rotas viewed confirmed the required number of staff had been deployed at all times.

Care files contained detailed risk assessments, which had been reviewed regularly to reflect people’s changing needs. This ensured staff had the necessary information to help minimise risks to people living at the home.

We found medicines had been managed safely. The home had effective systems in place to ensure medicines were ordered, stored, received and administered appropriately.

The provider used a training matrix to monitor the training requirements of staff. Training had been developed over the last 12 months, with the introduction of e-learning alongside practical training sessions. We found staff received appropriate training, supervision and appraisal to support them in their role.

People living at the home were encouraged to make decisions and choices about their care and had their choices respected, whilst being supported in the least restrictive way possible; with the policies and systems in the home supporting this practice. People's consent to care and treatment was also sought prior to care being delivered.

People’s nutrition and hydration needs were being met, with clear guidance in place for staff to follow. Meal times were seen to be a positive experience, with people being provided with a choice of meals and alternatives facilitated should they not like or want what was on offer.

Throughout the inspection we observed positive and appropriate interactions between the staff and people who used the service. Staff were seen to be caring and treated people with kindness, dignity and respect.

Care files contained detailed, personalised information about the people who lived at the home and how they wished to be cared for. Care plans provided staff with clear guidance on how to meet people’s needs, and risk assessments helped ensure their safety was m

Inspection areas

Safe

Good

Updated 16 June 2018

The service remains good.

Effective

Good

Updated 16 June 2018

The service has improved to good.

Staff reported they received regular training and supervision to enable them to carry out their roles successfully.

All staff spoken with had knowledge of the Mental Capacity Act (MCA 2005) and Deprivation of Liberty Safeguards (DoLS) and the application of these was evidenced in the care plans.

The dining experience was positive and we saw nutritional needs were being assessed with appropriate care plans in place.

Referrals were made to medical and other professionals to ensure individual needs were being met.

Caring

Good

Updated 16 June 2018

The service remains good.

Responsive

Good

Updated 16 June 2018

The service remains good.

Well-led

Good

Updated 16 June 2018

The service remains good.