About the service Asprey Court is a residential care home providing personal and nursing care to 81 people aged 65 and over at the time of the inspection. The service can support up to 86 people in one adapted building. The home was separated into four units. Two units accommodated people with complex nursing needs relating to their dementia, one unit provided nursing care for older people with dementia and the other unit for general nursing.
People’s experience of using this service and what we found People were supported by staff who had received training in how to recognise signs of abuse and what actions to taken in these circumstances. Staff supporting people were aware of the risks to them and how to manage those risks. The providers recruitment procedures had not been consistently followed. Areas of concern regarding medication management were identified during the inspection and responded to immediately. We were not completely assured regarding some areas of infection control management in the home. Accidents and incidents were acted on appropriately and analysed for any lessons to be learnt.
Staff had received training to provide with them the skills and confidence to meet people’s needs. Staff were aware of people’s dietary needs and preferences. People received a balanced diet and had access to drinks and snacks throughout the day.
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 obtained people’s consent prior to supporting them and treated people with dignity and respect. People were supported by staff who knew them well, knew what was important to them and how to support them safely and effectively.
People were supported to maintain good health. Staff worked alongside a variety of other healthcare professionals and agencies to ensure people’s healthcare needs were met.
People and their loved ones were involved in planning their care and attended regular reviews. Relatives were kept up to date with changes in their loved ones needs.
People were able to take part in a variety of activities both inside and outside the home. Efforts had been made to ensure people kept in touch with loved ones throughout the pandemic, through a variety of means. People’s opinions of the service were sought.
The registered manager and staff felt supported and were onboard with the vision for the service. Staff were complimentary of each other and the registered manager. People and relatives knew who the registered manager was, they described her as supportive and approachable. People had no hesitation in raising any concerns they may have and felt their voice would be heard.
There were a variety of audits in place to provide the registered manager with oversight of the service and drive improvement. Where areas for action were identified during the inspection, action was immediately taken and systems and processes reviewed.
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 12 July 2018).
Why we inspected
The inspection was prompted in part due several safeguarding concerns and an increased recording of incidents by the service. A decision was made for us to inspect and examine those risks.
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 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.
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.