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Adelaide House Residential Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 June 2019

About the service: Adelaide House is a care home registered to provide personal care and accommodation for a maximum of 23 older people. The home is located in a residential part of Leamington Spa and the accommodation is set out over four floors. There were 20 people living at the home at the time of our visit, some of who were living with dementia.

People's experience of using this service:

We last inspected Adelaide House in April 2018 when we rated the service as 'Requires Improvement’ in all key questions, together with breaches of the regulations. At this inspection we found improvements had been made in the key questions of ‘Caring’ and ‘Responsive’ which are now rated as ‘Good’. The key questions of ‘Safe’, ‘Effective’ and ‘Well-led’ remain ‘Requires Improvement’ and there are continuing breaches of the regulations.

There was a lack of clarity around the role and responsibilities of the management team. Quality assurance systems were not always effective and there were limited formal systems in place to audit the safety of the service.

Staff understood how to support people to keep them safe, but the provider and registered manager continued to demonstrate a lack of understanding of their safeguarding responsibilities. Environmental risks were not always identified and there was no effective system to audit adverse incidents that occurred in the home.

At the time of our inspection visit there were enough staff on duty to keep people safe, but staffing levels were not always maintained, especially at weekends. Staff had been given some training opportunities, but further improvements were required to ensure staff received support to maintain and develop their skills and knowledge.

People had access to the healthcare they required and were supported to access healthcare services. Medicines were given as prescribed, but improvements were required in the records to support safe medicines management. People’s nutritional needs were met in line with their preferences.

People told us they felt well cared for and staff demonstrated warmth and kindness in their interactions with people. People made decisions about their care and were supported by staff who understood the principles of the Mental Capacity Act 2005.

Systems were in place to manage and respond to any complaints or concerns raised.

This is the second consecutive time the home has been rated as Requires Improvement.

The registered provider was in breach of Regulations 12, 13 and 17 of the Health and Social Care Act 2008(Regulated Activities) Regulations 2014 and Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.

Rating at last inspection: At the last inspection the service was rated as requires improvement. (The last report was published on 25 May 2018).

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service continues to be rated as 'Requires Improvement' overall.

Enforcement: Action we told provider to take (refer to end of full report).

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Requires improvement

Updated 14 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 14 June 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 14 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 14 June 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 14 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.