Anning House

Anning House is a residential care home providing personal and nursing care to up to 70 people. The service is arranged over three floors and specialises in the care of older people including people who are living with dementia. At the time of the inspection there were 57 people living at the service.

This care home is run by two companies: Care UK Community Partnerships Ltd and WT UK Opco 4. These two companies have a dual registration and are jointly responsible for the services at the home.

People’s experience of using this service and what we found

The registered manager and provider had identified that record keeping was an area for improvement. They were taking immediate action to address shortfalls. We have made a recommendation for the provider to continue to develop accurate and up to date records (care plans) to ensure people continue to receive the care they need in a way they prefer.

People felt safe at the service and relatives and professional expressed their confidence in the staff team. Comments included, “It is fantastic here… the staff are excellent”, “You couldn’t wish for more…the staff are super” and “It is a comfort for us to know my (loved one) is safe and well cared for”

Staff were clear about how to safeguard people from avoidable harm and safeguarding concerns were referred appropriately and investigated. People received their medicines safely. Infection control processes protected people from the risk of infection. Accident and incidents were managed safely. The registered manager had oversight of accidents and incidents and used this information to drive service improvements.

The registered manager ensured sufficient numbers of staff were on duty to meet people’s needs and provide appropriate care and support. There was on-going recruitment to fill some staff vacancies. Regular agency staff were used to cover staff absences and vacancies. Safe recruitment practices were followed, and staff were suitably trained and supported to enable them to understand and meet people’s needs. Refresher training for staff was being organised.

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’s health and wellbeing was monitored, and people benefitted from the good working relationships established with health and social care professionals. People were given the support they required to meet their nutritional needs. People were positive about the food provided. They received a varied and balanced diet in line with their personal choices.

People were supported in a respectful and dignified way, their privacy was respected and their independence was promoted.

Meaningful activities and events were provided for people to take part in and they were supported to maintain relationships with the people that mattered to them. Visitors said they always received a warm welcome. People felt safe to raise any concerns or complaints with the registered manager.

The provider and registered manager monitored the quality and safety of the service and identified areas which could be improved.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This was a planned comprehensive inspection of a new provider. A new provider registered with us since the last comprehensive inspection of this location. This is the first comprehensive inspection under the new registered provider. A focused inspection was completed on 06 May 2022 and rated safe and well led as good.

The last rating for the service under the previous provider at the premises was good, published on 12 December 2019.

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.

Recommendations

We have recommended the provider continue to develop accurate and up to date records (care plans) to ensure people continue to receive the care they need in a way they prefer.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Anning House is a residential care home providing personal and nursing care to up to 70 people. The home is arranged over three floors and specialises in the care of older people including people who are living with dementia.

At the time of the inspection there were 43 people living at the home.

Since the last inspection the home’s name and provider has changed.

People’s experience of using this service and what we found

People felt safe and were comfortable and relaxed with staff who supported them. Throughout the inspection we saw kind, relaxed, compassionate and caring interactions between people and staff. We observed that staff were respectful of people and took time to offer support and reassurance when needed

Any risks to people were fully assessed and planned for. The manager told us they were starting to make people’s electronic care plans much more personalised.

Staff were recruited safely and there were enough staff to meet people's needs. There was an ongoing recruitment programme. Staff received training, support and supervision. Staff told us they felt well supported and they spoke fondly and knowledgeably about the people they cared for.

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.

There was a happy relaxed atmosphere with a wide variety of activities and social stimulation for people. People were able to make choices about their day to day lives and were encouraged to continue to follow their interests.

There was an open and positive culture within the home and people, their relatives, staff and professionals told us the manager and management team were approachable and helpful.

There were governance arrangements in place and systems to monitor the quality and safety of the service provided. The manager and provider took immediate action to address some governance shortfalls identified at the start of the inspection. Accurate record keeping remains an area for improvement identified in the manager and provider’s service improvement plan.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

At our last inspection we recommended that management of risks, pre-employment checks and oversight and monitoring of the service were improved. At this inspection we found the provider had acted on the recommendations and they had made improvements.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 3 and 6 May 2022.

We undertook this focused inspection to check if the provider had made improvements and in response to some concerns raised in feedback via our website. The concerns related to staffing, visiting, risks related to eating and drinking, activities and communication with people and relatives. This report only covers our findings in relation to the key questions safe, responsive and well-led.

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 changed from requires improvement to good. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Anning House 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.

Gracewell of Weymouth is a care home which is registered to provide personal and nursing care to up to 70 people. The home is arranged over three floors and specialises in the care of older people including people who are living with dementia.

At the time of the inspection there were 49 people living at the home.

People’s experience of using this service and what we found

People lived in a home which had not been consistently well led in the past few months. This had led to some audits not being carried out and some identified shortfalls not being addressed. This meant the systems in place to monitor the quality of people’s care and safety had not been fully implemented to drive improvements. At the time of the inspection the provider was taking action to improve the management of the home.

Standards of cleanliness throughout the home were excellent.

People felt safe and were comfortable and relaxed with staff who supported them. Throughout the inspection we saw kind and caring interactions between people and staff.

Risk assessments were in place to support people’s physical health. However, risk assessments regarding people’s emotional well-being had not always been updated to make sure they took account of people’s wishes. This meant risk assessments were not always carried out in a way that enabled people to safely take part in activities of their choosing or promote their independence.

People received their medicines safely from staff who had received specific training to carry out the task. All medicines errors or discrepancies were fully investigated.

People were cared for by staff who had received training to care for people safely. Staff were safely recruited which helped to minimise the risks of abuse to people.

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 happy with the food provided at the home. The provider was planning changes to ensure that everyone had a choice of meals.

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 the service was good (Report published December 2019)

A further targeted inspection was carried out in November 2020 to follow up on concerns raised with the Care Quality Commission. The rating was not changed as a result of this inspection and remained good.

Why we inspected

The inspection was prompted in part due to concerns received about medicines administration, several safeguarding incidents, staffing and the management of the home. A decision was made for us to inspect and examine those risks.

We identified concerns in relation to the management of medicines, safeguarding incidents, staffing and management. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report. However, we found no evidence during this inspection that people were at immediate risk of harm from these concerns. The provider was taking action to address shortfalls identified.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Gracewell of Weymouth on our website at www.cqc.org.uk.

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.

Gracewell of Weymouth is a care home. The home was providing personal and nursing care to 60 people aged 65 and over at the time of the inspection. The service can support up to 70 people. The home is situated in a residential area of Weymouth.

People's experience of using this service and what we found

People were supported by staff who cared about them and knew them well. They told us they felt the staff were kind and listened to their wishes. People were relaxed in the presence of staff.

The service was clean and free from odours. Staff were wearing face masks and following Covid 19 government guidance to minimise risks to people.

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. (report published December 2019).

Why we inspected

This targeted inspection was prompted to seek assurances about the safety and care of people after the provider had responded to safeguarding concerns in the home. An investigation was ongoing and as a result, this inspection did not examine the circumstances of the incident.

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 coronavirus and other infection outbreaks effectively.

CQC have introduced targeted inspections to follow up on specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We found no evidence during this inspection that people were at continued risk of harm from these concerns. CQC will review of the findings of this investigation separately.

Please see the Safe and Caring sections of this report.

Follow up: We will return to visit as per our re-inspection programme. 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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Gracewell of Weymouth on our website at www.cqc.org.uk

Gracewell of Weymouth is a residential care home providing personal and nursing care up to to 69 people aged 65 and over at the time of the inspection. The service can support up to 70 people.

The home specialises in the care of older people who are living with dementia and older people with nursing needs.

The home is purpose built with accommodation arranged over three floors. There are lifts to enable people to access all areas including a secure outside space.

People’s experience of using this service and what we found

People lived in a home that was well led by a senior team committed to promoting person centred care within a framework of robust monitoring and developments. There were systems in place to monitor standards and plan improvements. The manager was new to the home and the staff team had not all felt part of changes so did not all feel able to influence improvements. The manager was aware fo this and had a plan in place.

People felt safe at the home and with the staff who supported them. The staff understood their responsibilities and how to protect people from abuse. There were adequate numbers of staff to meet people’s needs and keep them safe. There had been high turnover of nurses which had an impact on treatment. Recruitment ahd been successful to fill vacant posts.

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 respected people’s choices and preferences.

People were cared for by staff who knew them well and were kind and compassionate. Most staff were happy in their jobs and all staff wanted to provide the best care they could. People had built strong relationships with staff and appreciated the familiarity they had.

People enjoyed the food and were supported to eat and drink safely.

People received care and support in a way that met their personal needs and enabled them to follow their own routines, interests and beliefs.

There were organised activities, informal chats and entertainment which provided people with meaningful things to do. People were supported to maintain contact with friends and family members.

Rating at last inspection

The last rating for this service was good (published 1 December 2017).

Why we inspected

This was a planned inspection based on our published guidance for inspecting new providers.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk