• Care Home
  • Care home

Albemarle Rest Home

Overall: Requires improvement read more about inspection ratings

50 Kenilworth Road, Leamington Spa, Warwickshire, CV32 6JW (01926) 425629

Provided and run by:
Albemarle Rest Home Ltd

Latest inspection summary

On this page

Background to this inspection

Updated 14 January 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Albemarle rest 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and 12 relatives about their experience of the care provided and one professional. We spoke with five staff including the registered manager, nominated individual and senior care workers. We reviewed a range of records. This included four people's care records, daily logs, accidents, incidents and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at risk assessments, care plans and policies relating to COVID-19.

Overall inspection

Requires improvement

Updated 14 January 2022

About the service

Albemarle is a residential care home providing personal and nursing care to 18 people aged 65 and over at the time of the inspection including people living with dementia. The service can support up to 24 people. People had access to a shared lounge, dining room and conservatory and gardens at the back of the home.

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

Records relating to risk assessment, care plans and accidents and incidents required improvement. Some known risks for specific health conditions did not have required risk assessments or care plans. Accidents and incidents were recorded but not analysed to learn from them. There were occasions when staff did not wear their face masks according to government guidance and improvements were identified in the administration of covert medicines.

Quality assurance and governance systems required improvement. They did not identify some of the risks found on inspection or gaps in people's care records. Audits needed to be implemented to ensure effective oversight and monitoring of all accidents and incidents to mitigate risks.

Improvements to the design and décor were underway. People's bedrooms were being redecorated and furniture replaced throughout the home.

Staff felt well supported by management and spoke positively about working at the home. Relatives felt the home was well organised and that the atmosphere was friendly, homely and caring. They were kept informed and staff felt communication in the home was good.

Relatives felt their loved ones were safe and received care from a consistent staff team who knew them well. Staff understood the risks to people's health and how to manage them. There were enough staff to support people safely and respond to their needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection

The last rating for this service was Good (published 28 April 2018)

Why we inspected

This inspection was prompted in part due to concerns received about visiting and management of risks. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Ratings from the previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvements. Please see the relevant key questions safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Albemarle Rest Home on our website at www.cqc.org.uk

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to Regulation 17 Good Governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.