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Alban House Residential Care Home Requires improvement

We are carrying out a review of quality at Alban House Residential Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 February 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 22 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 Victoria terraced houses. There are four floors accessed by a shaft lift.

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

At the time of the last inspection in 2019 a new manager had recently been registered with the CQC. During the Covid-19 pandemic there were further changes to the management team. The new manager had been absent from the home for a period during the spring months of 2020. They later applied to cancel their registration and the application was approved in September 2020. This meant the home did not have a registered manager in post at the time of this inspection. An existing member of the staff team was appointed as acting manager while the provider sought to appoint a new registered manager. At the time of this inspection the provider had been unsuccessful in appointing a new manager. There had also been a change of key members of Alban Quality Care Ltd at the end of 2019.

Systems were not in place to ensure people received safe care and treatment. There had been a high turnover of staff. New staff had been appointed but they did not always have the knowledge or skills to meet people’s needs safely. The provider had found records relating to staff induction, training or qualifications were missing. They also found a number of care plans were missing, out of date, or did not provide sufficient information about people’s care needs. At the time of this inspection the acting manager was in the process of writing new electronic care plans and risk assessments.

Care plans did not provide evidence of each person’s ability to make decisions about all aspects of their lives. Mental capacity assessments had not been carried out. Staff had not received training on the Mental Capacity Act 2005. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

At the last inspection we found some areas of the home appeared tired and dated, and some areas of the home and equipment had not been fully maintained. At this inspection we found little progress had been made on redecorating and maintaining the property. Some works were planned for the near future, including the replacement of some flooring.

In recent months the provider had received support from the local authority to help them draw up a service improvement plan and put in place monitoring systems to help them identify any further issues in future. However, this service has been rated as Requires improvement for the last four inspections. Systems that had been put in place following previous inspections to monitor and improve the service had either been ineffective or had not been maintained. The new systems being put in place to monitor and improve the service had not yet been established and therefore we could not be confident the service will maintain the improvements being made.

People and relatives told us they were happy with the care people received. A person living in the home said, “They are absolutely brilliant!” Comments from relatives included, “I love the care, I love the people. They are looking after [relative] beautifully” and “On the whole it’s ok”.

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 14 October 2019). There were three breaches of regulation. The provider complet

Inspection areas

Safe

Requires improvement

Updated 9 February 2021

The service was not entirely safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 9 February 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 9 February 2021

Responsive

Requires improvement

Updated 9 February 2021

Well-led

Inadequate

Updated 9 February 2021

The service was not well-led.

Details are in our well-Led findings below.