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Inspection Summary


Overall summary & rating

Good

Updated 31 October 2018

This inspection visit took place on 5 October 2018 and was unannounced. It was completed by one inspector.

Amberley Nursing Home is set on a large communal site which includes supported living units. This home was registered before the introduction of Registering the Right Support, however the service aims to adhere to the values set out as best practice. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

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 on-going 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 continues to provide care which ensures people’s safety. Staff understood the importance of protecting people from harm and the measures to take to reduce the risk of infections. There was enough staff to support people’s need and the arrangements were flexible to accommodate appointment, activities and celebration moments. Medicine was managed safely and provided in line with guidance.

People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Choices were promoted in relation to the meals provided and when required specialist advice had been sought and followed. Health care was an important factor in maintaining people’s health and wellbeing. The home had been adapted to support people’s needs and their personal preferences were acknowledged to create a homely environment.

Staff had established positive relationships with people and knew them well. Care was individual and responsive showing a real regard for each person’s wellbeing and daily lifestyle. Dignity was maintained and people were responded to in a respectful manner.

People’s care was delivered in line with their agreed care plans which had been developed with the person and or those family members important to them. Activities and hobbies were encouraged and people were able to decide on how they wished to spend their day. There was a complaints policy, however since our last inspection there had been none raised. When people were nearing the end of their life, they received care which was compassionate and pain free.

The service was supported by a registered manager who understand the regulations and ensured we received notifications and information in relation to these. People’s views had been obtained through a questionnaire and more work was being developed in this area. The rating was displayed at the home and on the providers website.

A range of audits had been used in relation to care plans, health and safety and medicines management. Staff felt supported and enjoyed working for this provider. Partnerships had been established to support the needs of people’s making the links with health and social care professionals.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 31 October 2018

The service remains good

Effective

Good

Updated 31 October 2018

The service remains good

Caring

Good

Updated 31 October 2018

The service remains good

Responsive

Good

Updated 31 October 2018

The service remains good

Well-led

Good

Updated 31 October 2018

The service remains good