12 February 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 25 January 2021 and was announced.
12 February 2021
This unannounced comprehensive inspection took place on 24 September and 3 October 2018.
Iddenshall Hall is a care home located in the village of Clotton, near Tarporley. It is an adapted property with purpose-built extensions on the ground floor level. Care and support is provided for up to 42 older people. At time of our inspection the service was supporting 32 people.
People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and we reviewed both areas during this inspection.
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.
The service had a registered manager in post. 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 were assessed prior to receiving support from the service to ensure that person centred care and support was provided. Care records included detailed risk assessments and support plans to help staff appropriately manage people's needs and keep them safe from harm. Care and support plans had been developed with the involvement of family and were reviewed regularly to ensure effective support was being provided at all times.
The service continued to use safe recruitment processes to ensure that staff were suitable to work with vulnerable people. Staff had completed a detailed induction program and shadow shifts with experienced staff members before lone working. Staff completed mandatory training as well as additional training specific to people's individual needs. Staff were supported in their role through regular supervision and meetings to ensure they maintained the right skills and knowledge to carry out their role.
Staff had received training in relation to safeguarding adults from abuse and understood what actions they should take when concerns are identified. Safeguarding policies were available for staff to access when needed.
Medicines were stored, managed and disposed of safely by staff who were suitably trained to administer medications to people living in the home. Staff consistently and accurately completed medicine administration records (MARs). The registered provider had policies and procedures in place for the safe management of medicines.
Consent was gained in accordance with the Mental Capacity Act 2005; the registered manager, management team and care staff understood the need to obtain consent from people prior to offering support.
Interactions between staff and people being supported were positive and staff showed a good knowledge of the people they supported. People were treated with dignity and respect and staff ensured privacy was maintained at all times. People were encouraged to be as independent as possible and provided with choice and control over their day-to-day lives ensuring that the least restrictive support was given where appropriate.
Activities within the home were extremely person centred. People were offered an extensive range of activities that were based on their likes and preferences. The service's activities co-ordinators ensured that people were involved in the choices of activities provided. The activities co-ordinators worked extremely hard to ensure that people experienced positive outcomes and to improve socialisation, physical strength and mobility, independence and confidence.
The quality and safety of the service was assessed and monitored regularly and improvements made where required. The management team were open and inclusive and showed a desire to maintain and improve on the quality of the service being provided.