Aarandale Manor is a nursing home providing accommodation, nursing and personal care to 32 people at the time of the inspection. Some people were also living with dementia. The service can support up to 65 people. Aarandale Manor accommodates people in one adapted building over three floors.
People’s experience of using this service and what we found
Significant improvements had been made over the last year in the management of the home and the quality of care people received, despite management changes that had taken place.
Relatives commented that whilst management changes had taken place, the quality of care had not been affected and people were safe and received good care and support.
We observed people to be supported in a safe way, taking into consideration their needs, choices and wishes.
Risks identified with people’s health, medical and care needs had been assessed and documented with clear guidance on how to minimise the identified risk to keep people safe.
People received their medicines safely and as prescribed. Systems and processes in place supported this.
Recruitment policy and procedures supported the recruitment of staff who had been assessed as safe to work with vulnerable adults. We observed enough staff available to support people safely.
The home smelled fresh and was clean. There were increased infection control measures in response to the coronavirus outbreak. The provider reacted appropriately to keep people safe.
Staff received the required induction, training and support to carry out their role effectively. Care staff told us that they felt appropriately supported and that the management team were always available to provide direction and guidance.
The service supported people to eat and drink in ways which took into consideration their support needs, likes and dislikes.
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.
Most relatives felt engaged with the service and confirmed that they received regular updates and feedback about their relative. However, some relatives did comment that communication between them and the home could be improved.
Management audits and checks enabled managers to oversee the quality of care delivery and make the required improvements where necessary. During the inspection, minor issues were identified with the recording of supervisions, appraisals, capacity assessments, best interest decisions and DoLS. However, following the inspection, these issues were addressed.
We have made a recommendation about the provider and management sustaining the improvements and embedding all learning and development going forward.
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 4 April 2019) and there were breaches of regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The regulation 17 breach was a continued breach from the previous inspection (published February 2018) and the second time that the service had been consecutively rated requires improvement.
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
We carried out an announced focused inspection of this service on the 3 and 4 September 2020 to check that the provider had followed their action plan, 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 Aarandale Manor on our website at www.cqc.org.uk.
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.