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Inspection Summary


Overall summary & rating

Good

Updated 13 February 2018

Aldersmead Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Aldersmead Care Home provides facilities and services for up to 38 older people who have physical health care needs and who may also be living with dementia. This includes people who have had a stroke or live with a chronic health condition like Parkinson’s or diabetes. Aldersmead Care home is one of three care homes within the registered organisation.

At the time of this inspection 26 people were living in the service. This inspection took place on 8 December 2017 and was unannounced.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 and associated Regulations about how the service is run.

At the last inspection undertaken on the 24 August 2015 the service was rated ‘Good’ overall with a breach of one regulation. This was because staff were not consistently providing care in a respectful way. At this inspection we found this regulation had been met and the service continued to be rated ‘Good’ overall.

Medicines were stored and handled safely. However we found for people who were prescribed ‘as required’ (PRN) medicines suitable guidelines were not always in place to guide staff on the safe and consistent administration of these medicines. This was identified to the registered manager as an area for improvement.

People were happy with the care and support they received. Family members were also complimentary about the care and support provided to people and them. Visiting professionals provided very positive feedback on the staff and the delivery of care.

People were looked after by staff who knew and understood their individual needs well. Staff were kind and treated people with respect, promoted their individuality and independence whenever possible. They spoke to them in an appropriate way, promoted communication and took a genuine interest in what they had to say.

Staff had a good understanding of safeguarding procedures and knew what actions to take if they believed people were at risk of abuse or discrimination. Recruitment records showed there were systems which ensured as far as possible staff were suitable and safe to work with people living in the service. Staff understood the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Senior staff had an understanding of DoLS and what may constitute a deprivation of liberty and followed correct procedures to protect people’s rights.

Staff were provided with a full induction and training programme which supported them to meet the needs of people. Staffing arrangements ensured staff worked in such numbers, with the appropriate skills that people's needs could be met in a timely and safe fashion. The registered nurses attended additional training to update and ensure their nursing competency.

People were supported to eat and drink a variety of food. They were provided with choice of freshly cooked meals and drinks each day. People’s health was monitored and staff responded when health needs changed. People were supported to attend healthcare appointments and were referred to external healthcare professionals when needed. People were supported to take part in a range of activities maintain their own friendships and relationships with people who were important to them.

Feedback was regularly sought from people, relatives and staff. People were encouraged to share their views on a daily basis and satisfaction surveys had been completed. People were given information on how to make a complaint and said they were comfo

Inspection areas

Safe

Requires improvement

Updated 13 February 2018

The service was not consistently safe.

Individual guidelines for the giving of PRN medicines were not in place to guide staff appropriately. Other medicines were stored and handled safely.

There were enough staff on duty to meet people’s care needs. Appropriate checks were undertaken to ensure suitable staff were employed to work at the service.

People and relatives felt people were safe. Staff had received training on how to safeguard people from abuse and were clear about how to respond to any allegation of abuse.

The environment and equipment was well maintained to ensure safety. Risk assessments were used to assess potential risks and to respond to them.

Effective

Good

Updated 13 February 2018

The service remains effective.

People were cared for by staff that had received training and had the skills to meet their needs. People had access to health care services to maintain their health and well-being.

Staff had an understanding of the Mental Capacity Act 2005 and DoLS assessments had been made to determine peoples’ capacity and appropriate referrals were made to the local authority if people needed to be deprived of their liberty to ensure their safety and well-being.

Staff monitored people’s nutritional needs and people had food and drink that met their needs and preferences.

Caring

Good

Updated 13 February 2018

The service was caring.

People were supported by kind and caring staff. Relatives were made to feel welcome and recognised as an important part of people’s lives.

Everyone was positive about the care provided by staff. Staff knew people well and had good relationships with them.

People were encouraged to make their own choices and had their privacy and dignity respected.

Responsive

Good

Updated 13 February 2018

The service remains responsive.

Accurate records and care plans were maintained to ensure that people got individual and person centred care.

There was a comprehensive and personalised activity programme which people enjoyed participating in as they wished.

Complaints had been recorded investigated and responded to appropriately.

Well-led

Good

Updated 13 February 2018

The service remains well-led.

The management systems ensured safe and best practice was followed in all areas. This included accurate record keeping and the use of clear policies and procedures.

The registered manager was supportive to staff and had a high profile in the service.

Systems were in place to gather information from people, relatives and staff and this was used to improve the service.