We carried out a review of the data available to us about Adderley Green Care Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Adderley Green Care Centre, you can give feedback on this service.
Adderley Green is a care home providing personal and nursing care for up to 110 people aged 18 years and over. At the time of the inspection 98 people were living in the home. The home is split across two buildings with each site having their own separate units and separate adapted facilities. One building supports older people who have dementia and the other building specialises in providing care and support to people with complex neurological care and rehabilitation needs.
People’s experience of using this service and what we found
Systems and processes were in place to keep people safe from harm. However, we have made a recommendation to the provider to review incident recording processes.
Some people told us there needed to be more activities provided, the registered manager responded straight away and will address this in the next resident meeting.
Relatives and people told us they felt included in the service and felt confident to raise concerns. Staff told us they felt supported by the registered manager and attended regular meetings.
There was a culture of learning lessons when things went wrong. Safeguarding concerns and incidents were discussed and reviewed in meetings. Staff understand abuse and were confident about reporting any concerns. Staff were recruited safely and received regular training and support.
Risks to people were assessed and mitigated. Care plans and risk assessments were regularly reviewed, and staff knew people well. People and relatives told us they felt the care was safe and person-centred.
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.
The provider and staff worked in partnership with other health and social care agencies to deliver good outcomes for people and ensure their needs were met and reviewed. Visiting professionals told us the provider positively promoted advocacy services.
The registered manager and staff understood their roles, and were clear about quality performance, risks and regulatory requirements. There were robust checks and audits in place to monitor quality and safety.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 23 August 2022).
Why we inspected
We received a safeguarding concern in relation to the management of people’s PEG care and people’s oral health care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained ‘good’ based on the findings of this inspection.
Recommendations
We have made a recommendation to the provider to review incident recording with their training provider to ensure incidents and 'action taken' are documented with more detail.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Adderley Green is a care home providing personal and nursing care for up to 110 people aged 18 years and over. At the time of the inspection 107 people were living in the home. The home is split across two buildings with each site having separate units and separate adapted facilities. One building supports older people who have dementia and the other building specialises in providing care and support to people with complex neurological care and rehabilitation needs.
People’s experience of using this service and what we found
Medicines were managed and administered in a safe way, although systems in place for recording the location on the body for pain relieving skin patches were not robust enough to clearly demonstrate full body rotation. The registered manager has implemented a new monitoring system to ensure clear skin patch rotation recording. This will help to ensure people continue to receive their medicines, including pain relief, as prescribed.
Medication fridge temperatures had occasionally exceeded the safe temperature limit, the registered manager responded straight away and purchased new fridges with enhanced temperature monitoring systems.
Incident and accident forms were completed in detail by staff members and submitted for management review. These had not always been reviewed in a timely manner. The registered manager took immediate action to address this by implementing a new process to ensure a timely review of accidents and incidents.
Relatives and staff members felt involved in the care provided within the home and there was a culture of transparency and learning from mistakes. Apologies were made following any mistakes or complaints.
Safeguarding and whistle-blowing policies were available to staff and they told us where they were located.
Staff received safeguarding training, they knew how to safeguard people and felt confident to report any concerns.
Visiting professionals told us staff were aware of the importance of regularly assessing people's needs and how the registered manager worked closely with them when assessing and reviewing care needs.
Staff were recruited safely, the registered manager ensured all relevant staffing checks were conducted prior to employment.
People told us they felt safe living at the home and with the staff who supported them. Relatives told us they felt the care was safe and staff provided respectful and dignified care.
There were enough staff on duty to provide safe care and support to people. Rotas were adapted to take into account people's changing support requirements.
Regular health and safety checks were carried out on the environment and contingency plans were in place to keep people safe.
Staff, relatives and people told us the registered manager was approachable and they had confidence in their abilities.
There was a culture of improving care, the registered manager had clear plans in place to drive improvements within the home.
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
The last rating for this service was good (published 13 December 2019).
Why we inspected
We received concerns in relation to the management of medicines and nursing practices. These concerns were raised by an Ombudsman investigation review. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Adderley Green Care Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Adderley Green is a care home providing personal and nursing care for up to 135 people aged 18 years and over. The home is split across two buildings with each site having their own separate units and separate adapted facilities. One of the sites supports older people some of who may be living with dementia and the other specialises in providing care and support to people with complex neurological care and rehabilitation needs.
People’s experience of using this service and what we found
People received an exceptionally consistent and responsive service that was tailored to meet their individual needs, and which gave them opportunities to improve physically and mentally in order to live as independently as possible.
People were supported by a dedicated and committed staff team who were passionate about putting people at the centre of their own care creating and meeting ambitions, goals and aspirations together.
Staff knew people extremely well and knew people’s limitations whilst being able to effectively support and motivate people to take part in rehabilitation programmes personalised to them to achieve positive outcomes.
Staff were trained to a high standard which meant people received high quality care that was appropriate and individualised to them. People with specific and complex needs had these met in an effective and timely way. The provider had a comprehensive training programme for staff to access which meant more staff were trained to effectively deliver care and support to people.
People were kept safe from the risks of harm and abuse. Staff knew how to recognise and respond to concerns of abuse and people had risks assessments in place to guide staff to mitigate risk.
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.
Staff were caring and treated people as individuals responding to people’s preference and choice. People knew how to make a complaint and felt assured complaints and issues raised would be responded to accordingly.
The management team were dedicated to promoting an inclusive culture where people and staff were respected and valued.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 20 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.
Adderley Green care Centre is a care home providing nursing care for people with neurological conditions or complex care needs. The service provides both long term and respite care facilities for up to 135 people. At the time of the inspection there were 32 people residing at the location.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe. Staff knew how to recognise and report signs of potential abuse. Risks to people’s health, safety and well-being were identified and managed and staff demonstrated a good knowledge of people’s risks and how to manage them. People were supported by sufficient numbers of staff who had been recruited safely. The provider had systems in place to ensure medicines were managed safely and administered as prescribed.
People were supported by staff that had the skills, knowledge and support to provide effective care. People consented to their care and support and the provider was appropriately applying the principles of the Mental Capacity Act to ensure people’s rights were protected. People were supported to eat and drink sufficient amounts to maintain their health and were provided with choices. People were supported by a multi-disciplinary team of healthcare professionals to ensure prompt advice, guidance and support was provided when needed. Staff were following healthcare professionals advice and this meant people were supported to maintain good health.
People were supported by staff who were caring and treated people with kindness and respect. People were supported to make decisions about their care and support. Staff supported people in a way that maintained their privacy and dignity and people were successfully supported to maintain or regain their independence.
People were supported by staff who knew their needs and preferences well and people’s personal preferences and wishes were respected. People’s care plans were reviewed regularly to take account of people’s changing needs and risks and people and their relatives were involved in the planning and review of their care. People had opportunities to engage in activities both with in the service and out in the local community and they were supported to maintain their personal hobbies or interests. People knew how to raise a concern or complaint and the provider had a complaints process to effectively manage complaints.
The registered manager had effective systems in place to monitor the quality and consistency of the care provided. People, relatives and staff were encouraged to give feedback on the service and information from audits, surveys and quality checks was used to drive improvements. Staff felt supported in their roles and understood their responsibilities. The registered manager was appropriately notifying us of events they are required to do so by law, such as allegations of abuse.