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Aden House Care Home Requires improvement

We are carrying out a review of quality at Aden House 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 17 September 2019

About the service

Aden House is a care home providing personal and nursing care to 39 people aged 65 and over at the time of the inspection. The service can support up to 60 people. There is accommodation and communal areas located on both the ground and first floor. The home provides care and support to people who are assessed as having nursing and personal care needs; there is also a unit (Butterfly Unit) with 20 beds which provides personal care for people living with dementia.

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

Not all equipment had been checked for safety. Improvements were needed to ensure people consistently received their medicines as prescribed. Not all areas of the home were clean. There was ongoing recruitment to a number of vacant positions within the home. The recruitment of staff was safe.

New staff received an induction. Staff training and supervision was not up to date. Feedback about the meals was mainly positive. Staff received the input of other healthcare professionals where needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, not all the requirements of the Mental Capacity Act 2005 had been met. We have made a recommendation about meeting the requirements of the Mental Capacity Act (2005).

Staff were caring and kind. People were treated with dignity and respect. Staff knew people’s preferences, likes and dislikes. We have made a recommendation about involving people in their care plans.

Care records were not always accurate or complete, although they were detailed, and person centred. People were not always provided with meaningful engagement which met their individual needs. Four complaints had been received during 2019 but we were unable to evidence they had all been dealt with appropriately.

There was no registered manager in post, a manager from another of the provider’s services was supporting the home and a new manager had been appointed. Staff told us there had been a number of managers at the home in the previous twelve months. Staff morale had begun to improve as a result of the support manager being assigned to the home. A number of audits had been completed, these had not always been completed at regular intervals. Where issues were identified, action had not always been taken. The findings of this inspection demonstrate a failure of leadership and governance at the home at provider level.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 24 October 2018). The service remains rated requires improvement. This service has been rated requires improvement for the last four consecutive inspections.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to person centred care, safe care and treatment, staffing, complaints and good governance at this inspection.

For requirement actions of enforcement which we are able to publish at the time of the report being published please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will also meet with the provider following this rep

Inspection areas

Safe

Requires improvement

Updated 17 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 17 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 17 September 2019

The service was not well-led.

Details are in our well-Led findings below.