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Inspection Summary


Overall summary & rating

Good

Updated 18 September 2021

About the service

Avalon Nursing Home is a nursing home providing personal and nursing care to 47 people at the time of the inspection. The service can support up to 55 people. Accommodation is laid out over two floors, both floors incorporate private bedrooms, with some offering walk-in showers. All bedrooms have ensuite facilities. The ground floor provides level access to a garden, with patio and outdoor dining furniture. There is additional outside space in the form of a small courtyard adjacent to the large communal lounge. Smaller lounges and seating areas are available throughout the home. The registered manager’s office is located next to the main reception area.

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

People received safe care and were protected from potential abuse. People told us they felt safe and relatives confirmed this. Since our last inspection, the service had introduced measures to improve the safety of care provided, including in relation to pressure ulcer management. There were sufficient numbers of staff deployed across the service to meet people’s needs. Medicines were managed safely, and measures were in place to prevent the spread of infection. Lessons were learnt when things went wrong.

Staff, people, and relatives spoke positively about the management team. Since our last inspection, the service had made changes to ensure quality assurance systems were used effectively and routinely, to identify concerns errors and omissions. The service was introducing initiatives and looking to develop care provision by working with external organisations and gaining accreditations. Feedback was sought from people, their relatives and stakeholders. The service provided people with person-centred care and the staff worked as a team. The provider was working in line with regulatory requirements.

People received effective care and experienced good outcomes. Since our last inspection, improvements had been made to ensure people consented when they needed care and treatment. When people could not consent, the service worked in line with the principles of the Mental Capacity Act (MCA). Staff were passionate about ensuring people were empowered to make their own decisions and take risks. People were supported to eat and drink enough, and their needs were assessed in line with published guidance. Staff received support and training relevant to their roles and the people they supported.

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.

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 05 July 2019) and there was a breach of regulation. 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 improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Avalon Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 18 September 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 September 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 September 2021

Responsive

Good

Updated 18 September 2021

Well-led

Good

Updated 18 September 2021

The service was well-led.

Details are in our well-Led findings below.