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Adelaide Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 December 2019

Adelaide Care Home is a residential care home registered to provide personal and nursing care for up to 76 people living with dementia, sensory impairment or a physical disability across four separate units, each of which has separate adapted facilities. There were 69 people using the service at the time of our inspection.

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

The provider failed to involve some people, their relatives and professionals where relevant and had not maintained a record of decisions made in their best interests, in line with the Mental Capacity Act 2005. The provider had made DoLS reauthorisation application for six people to the supervisory body but had not followed up with them for over a year. As these had not been authorised at the time of the inspection. The provider had not always identified issues that we found at this inspection and acted upon in a timely manner.

The service had a positive culture, where people and staff told us they felt the provider cared about their opinions and included them in decisions. The registered manager had knowledge about people living at the home and made sure they kept staff updated about any changes to people’s needs. They encouraged and empowered people and their relatives to be involved in service improvements through periodic meetings. The provider had worked effectively in partnership with a range of healthcare professionals.

People and their relatives gave us positive feedback about their safety and told us that staff treated them well. The registered manager and staff understood what abuse was, the types of abuse and the signs to look for. Staff completed risk assessments for every person and they were up to date with clear guidance for staff to reduce risks. There were enough staff on duty to support people safely and in a timely manner. Staffing levels were consistently maintained to meet the assessed needs of people. The provider carried out comprehensive background checks of staff before they started work. Medicines were managed safely.

Staff kept the premises clean and safe. The provider had a system to manage accidents and incidents to reduce the likelihood of them happening again.

Staff carried out pre-admission assessments of each person’s needs to see if the service was suitable and to determine the level of support they required. Staff received appropriate support through training, supervision and appraisal to ensure they could meet people’s needs. Staff told us they felt supported and could approach their line manager, and the registered manager, at any time for support. Staff assessed people’s nutritional needs and supported them to have a balanced diet. People told us they had enough to eat and drink. The provider had strong links and worked with local healthcare professionals in a timely manner. The provider met people’s needs by suitable adaptation and design of the premises. Staff completed health action plans for everyone who used the service and monitored their healthcare appointments.

Staff asked for people’s consent, where they had the capacity to consent to their care. Some 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 support this practice. Staff showed an understanding of equality and diversity. They supported people with their spiritual needs where requested.

Staff involved people or their relatives in the assessment, planning and review of their care. Staff respected people’s choices and preferences. People told us staff treated them with dignity, and their privacy was respected.

Staff recognised people’s need for stimulation and supported them to follow their interests and take part in activities. People responded positively to these activities. Staff had developed care plans for people based upon their assessed needs. Care plans were reviewed on

Inspection areas

Safe

Good

Updated 28 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 28 December 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 28 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 28 December 2019

The service was not always well-led.

Details are in our well-Led findings below.