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Allambie Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 May 2019

About the service:

Allambie Court Nursing Home is a care home, providing personal and nursing care and accommodation for up to 26 people. There were 22 people with frailty due to older age and / or dementia living at the home at the time of the inspection.

What life is like for people using this service:

• People felt well cared for and described staff as kind and compassionate toward them.

• Staff knew people well and how they liked to be cared for.

• There were some risks of potential infection posed to people. Cleanliness was not consistently good and improvements in hygiene were needed in the kitchen and to soft furnishings in communal lounges.

• Food safety guidelines were not always followed and a food handling practice posed potential risks of infection to people.

• People felt care staff were kind towards them and looked after them well. Activities were planned for and took place during the afternoons which met people’s needs.

• People had individual plans of care, so staff had the information they needed to care for them.

• Risks were identified, and actions taken to reduce the risks of harm and injury. However, monitoring records were not always in place to support effective monitoring of identified risks.

• Medicines were managed safely. People’s prescribed medicines were available to them and records had been completed as required.

• Staff had the necessary skills to meet people’s needs.

• Care staff understood the need to gain people’s consent before personal care was provided. The registered manager understood, and worked within, the requirements of the Mental Capacity Act 2005.

• People were supported to eat and drink adequately.

• Staff interacted positively with people, showing a caring approach.

• People and relatives were, overall, complimentary about staff. No written complaints had been received, however, concerns about cleanliness were shared with us.

• The provider had systems and processes in place to assess the quality and safety of the service. Most actions were taken to make improvements where needed. However, we found occasions where actions for improvement identified were not always implemented.

Rating at last inspection: The last report for Allambie Court Nursing Home was published on 28 June 2018 and we gave an overall rating of Requires Improvement.

Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we found some improvements in how effective the service was and how people were cared for. However, improvements continued to be needed in the safety, responsiveness and how well led the service was. The rating continued to be Requires Improvement.

Follow up: We will continue to monitor intelligence we receive about the service.

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 May 2019

The service was not consistently safe.

Details are in our Safe findings below.

Effective

Good

Updated 14 May 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 14 May 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 14 May 2019

The service was not consistently responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 14 May 2019

The service was not consistently well led.

Details are in our Well Led findings below.