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Inspection Summary


Overall summary & rating

Good

Updated 12 January 2019

This inspection took place on 5 December 2018 and was unannounced. At the last inspection the service was rated as requires improvement overall and requires improvement in the key areas of safe, effective and well-led. At this inspection we checked to see whether the provider had improved in these areas and found they had in effective and well-led but had not in the key area of safe.

Aden Court 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. Aden Court is registered to provide residential and nursing care for up to 40 people. The home has a reception area, a large dining room, a choice of lounge areas and an activities room. All bedrooms are en-suite. At the time of our inspection there were 37 people living at the home, with 14 people receiving nursing care and 23 people receiving residential care.

There was 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 told us they felt safe living at Aden Court and staff were well-trained and knowledgeable about safeguarding procedures. Measures were in place to help keep people safe in an emergency.

A person had not received the support advice given from a visiting health professional, whilst the health professional confirmed this had not had a detrimental impact on the person, measures were not robust to ensure appropriate action had been taken. People had good access to health professionals and visiting health professionals spoke highly of the service.

Risks to people were individually assessed, reviewed regularly and consideration was given to maintaining people’s independence.

There were sufficient staff to support people and people’s dependency was regularly checked to ensure this.

Medicines were administered safely and best practices were followed. Regular checks took place to ensure this.

Accidents and incidents were monitored and analysed to ensure the home improved and learnt lessons were applicable.

Premises and equipment were well-maintained and regular checks took place in line with legislation.

There was some evidence people were involved in their care planning and some relatives told us they felt involved in their relative’s care.

People’s mental capacity was assessed and staff showed a good understanding of this and in how they promoted people’s choice and independence.

People told us they felt staff were well-trained and staff were positive about the quality of the training they received. Not all staff had received training in line with the provider’s policies however plans were in place for this to be completed by the end of January 2019.

Recruitment processes were robust and new staff completed an induction to ensure they were knowledgeable about the service and the people living at Aden Court.

People were supported to maintain a balanced diet and people and relatives spoke highly about the quality of the food. People’s weight was monitored to ensure they were not a risk of malnutrition.

People were involved in the decoration of the home and bedrooms and communal areas were personalised.

People and relatives told us staff were caring and we observed staff supporting people with compassion, dignity and respect.

Staff were knowledgeable about people, their life history and preferences. People had regular access to a range of group and individual activities which supported their individual needs.

Compliments and complaints were monitored and people felt able to raise concerns with staff and managers.

People, relatives and staff spoke highly o

Inspection areas

Safe

Requires improvement

Updated 12 January 2019

The service was not always safe.

People and their relatives told us they felt safe living at the home. Staff were well-trained in safeguarding.

People had their medicines administered safely.

One person had not received the care advised by a health professional and procedures had not identified this.

Effective

Good

Updated 12 January 2019

The service was effective.

Staff received induction training and ongoing supervisions and appraisals.

The principle's of the Mental Capacity Act were applied and people's care was in line with legislation.

People were supported to maintain a balanced diet.

Caring

Good

Updated 12 January 2019

The service was caring.

Staff treated people with compassion, dignity and respect.

People's records were kept securely and their confidentiality was respected.

People's communication needs were recorded and supported.

Responsive

Good

Updated 12 January 2019

The service was responsive.

Care plans reflected people's choices and preferences and were regularly reviewed.

People received a broad range of individual and group activities according to their preferences and aspirations.

People's end of life care wishes were considered and met.

Well-led

Good

Updated 12 January 2019

The service was well-led.

People, relatives and staff spoke highly of the manager.

The registered provider had up to date policies and procedures in place.

Regular audits and quality checks took place which resulted in continued improvements in the home.