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Avalon Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 July 2019

About the service:

Avalon Nursing Home is a nursing home. It specialises in providing care for up to 55 people who are living with dementia. It was providing personal and nursing care to 50 people at the time of the inspection.

People’s experience of using this service:

Throughout the inspection we received positive feedback from people and relatives about the service.

The provider had failed to notify CQC about one incident which had taken place at the service. They are legally obliged to do this.

When people lacked the mental capacity to make decisions, records did not always demonstrate current statutory guidance had been followed to ensure people were not restricted any more than necessary.

Some aspects of the service were not always safe. For example, specialist air flow mattresses were not checked as required, and information about mattress settings was not always clear. Also care plans for people who could display behaviours which challenge lacked detail. This meant that staff did not always have adequate guidance about managing risks.

People's medicines were administered as prescribed and managed safely by competent staff. Medicines trolleys were not anchored securely when they were in corridor areas.

There were enough staff to meet people’s needs. The provider was recruiting to vacant posts, and safe recruitment processes were followed.

Staff felt supported by the management team and received training to ensure they could effectively perform their role. Staff received supervision regularly, although records required updating.

People were supported by staff to eat and drink enough to maintain a balanced diet. We received mixed feedback about the meals provided.

The environment was bright, clean and well maintained, with points of interest and sensory objects for people to interact with.

People accessed routine and specialist healthcare appointments. Most relatives told us they were consulted with and informed about people’s care.

People were supported and treated with dignity and respect and staff knew people well and were kind and patient.

People's individual needs and preferences were considered, although some care plans and records required reviewing to ensure staff had the information they needed to provide high quality care.

Quality assurance systems were in place to monitor and review quality and performance and ensure risks were well managed. However, the regular completion of checks and audits had lapsed in the few weeks before our inspection. We highlighted this to the management team.

Rating at last inspection:

Good (report published 08 November 2016).

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Enforcement:

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see the action we have told the provider to take towards the end of the full report.

Follow up: We will continue to monitor the service through the information we receive. We will visit the service in line with our inspection schedule, or sooner if required.

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 5 July 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 5 July 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 5 July 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 5 July 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 5 July 2019

The service was not always well-led

Details are in our Well-Led findings below.