3 August 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 20 July 2022 and was announced. We gave the service 24 hours’ notice of the inspection to ensure the provider was available.
3 August 2022
Archmoor Care Home provides personal care for up to 20 older people in one adapted building. There were 18 people accommodated at the home at the time of the inspection.
People’s experience of using this service and what we found
The administration of medicines was not always safe. Safeguarding policies, procedures and staff training helped protect people from abuse. All necessary checks on staff and the environment were undertaken to keep people safe. Risk assessments helped protect the health and welfare of people who used the service.
Notifications which are required to be sent to the Care Quality Commission had not been undertaken. The manager was completing audits to improve the service. The registered manager attended meetings to discuss best practice topics with other organisations to improve the service. People who used the service and staff said the manager was available and approachable. People who used the service, staff and relatives were able to air their views about how the service was run.
People were supported to live healthy lives because they had access to professionals, a well-trained staff team and choice of a nutritious diet. The service worked with other organisations to provide effective and consistent care. 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.
People were treated as individuals which helped protect their dignity. Staff were trained in equality and diversity. People's equality and diversity was respected by a caring staff team and where they wanted they were supported to continue with their religious needs.
We saw the service responded to the needs of people by providing meaningful activities, having regularly reviewed plans of care and any concerns acted upon. Staff training enabled them to care for people at the end of their lives. There was a system to respond to complaints.
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 14 August 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating and to follow up on action we told the provider to take at the last inspection. The overall rating for the service remains requires improvement. This is based on the findings at this inspection. We found evidence the provider needs to make further improvement. Please see the safe and well-led domains of this full report. The provider took action to mitigate the risks found.
We have identified breaches in relation to Regulation 17(2)(c) Good Governance, for a failure to maintain accurate records for the administration of medicines and a possible breach of Registration Regulation 18(2) and (4)(a) failure to notify incidents.
Please see the action we have told the provider to take at the end of the report.
Since the last inspection we recognised that the provider had failed to comply with a condition of registration (s33 Health and Social Care Act 2008) Registered Manager Condition. The provider accepted a fixed penalty and paid this in full.
We will meet with the provider to discuss how they will make changes to ensure they improve their rating to at least good. We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.