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Alban House Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 April 2021

About the service

Alban House Residential Care Home is a 'care home'. The home is registered to accommodate up to 23 people in one adapted building. At the time of this inspection there were 17 people living there. The home cared for older people, including people with dementia, learning disabilities and other mental health needs. The home also cared for younger adults with physical disabilities, including neurological conditions such as Multiple Sclerosis.

Alban House has been adapted from three adjoining Victorian terraced houses. There are four floors accessed by a shaft lift.

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

People’s individual risks had been identified and risk assessment reviews had been carried out to identify ways to keep people safe. For example, risk assessments for pressure area care, constipation and those risks associated with specific physical health conditions, such as Multiple Sclerosis and Parkinson’s disease. The service recognised that further work was needed to individual risk assessments and this formed part of the service’ improvement plan. The plan stated: ‘Latest audit shows that some bespoke risk assessments are outstanding.'

The service had implemented an ‘escalation steps’ procedure surrounding the health of individuals, in order for changing needs to be addressed in a timely manner. This involved updating care plans, risk assessments and seeking health and social care professional involvement to address people’s individual needs.

Health and safety failings and areas of the home in need of repair had now been addressed. All relevant health and safety checks were now scheduled in an annual diary. This clearly indicated who was responsible for all checks, including external contractors, visiting for instance to service moving and handling equipment. These checks were being completed in a timely way.

People were protected because the organisation took safety seriously and had appropriate procedures in place. Comments included: “The staff look after me very well” and “I am very comfortable.”

Care plans had been reviewed and clearly detailed people’s individual needs, wishes, goals and how to support them to ensure all individual health conditions and preferences were addressed. Sections specific to people’s physical health conditions were now detailed and explained how certain physical health needs affected people’s lives. For example, for people living with Multiple Sclerosis or Parkinson’s disease. Further work was underway to ensure care plans provided enough information to ensure staff delivered consistent care and support. The service’ improvement plan cited that further work was needed to care plans and this work was on-going.

Improvements had been made to the induction process for new employees. Staff training on essential topics had improved, which enabled staff to feel confident in meeting people’s needs and recognising changes in people’s health. A staff member commented: “100% improved. We have had lots of training we are interested in so we can look after people properly. I am looking forward to doing end of life care training soon.” Staff were now receiving on-going supervision in order for them to feel supported in their roles and to identify any future professional development opportunities.

The staff team had stabilised and felt well supported by the management team and felt able to raise concerns.

A redecoration programme was in place and was being worked through to improve the home’s environment, ensuring it was comfortable for people living there.

Before people received any care and treatment they were asked for their consent and staff acted in accordance with their wishes. People's legal rights were protected because staff knew how to support people if they did not have the mental capacity to make decisions for themselves. People’s capacity to make decisions about their care and support was assessed on an on-going basis in line with th

Inspection areas

Safe

Requires improvement

Updated 29 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 29 April 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 29 April 2021

Responsive

Requires improvement

Updated 29 April 2021

Well-led

Requires improvement

Updated 29 April 2021

The service was not always well-led.

Details are in our well-led findings below.