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We are carrying out a review of quality at Avocet Court. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 15 December 2020

About the service

Avocet Court is a residential care home providing personal and nursing care for up to 153 adults. At the time of our inspection there were 79 adults and older people living in the service, some were living with dementia.

The service accommodates people across three separate units, each of which has adapted facilities. These were, Cilgerran House and Powys House, which provided personal and nursing care, and Harlech House which provided personal and nursing care for people living with dementia. There was a separate unit, where the management team, reception and administration, kitchen, coffee shop and laundry were located.

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

Since our last inspection there had been a change in the management of the service. The registered manager at our last inspection no longer worked at the service. A new manager was due to start in January 2021. In the interim, the service was being managed by the hospitality services manager/deputy manager and the clinical care manager.

There were governance systems in place to monitor and assess the care provided. Shortfalls were identified, and actions put in place to improve the service provided. Where incidents had happened, lessons were learned to reduce the risks of them happening again.

There were systems in place designed to reduce the risk of avoidable harm to people using the service, including abuse. Medicines were managed safely and available for people where required. There were systems to calculate the numbers of staff required to meet people’s needs, which was kept under review. Checks were made on new staff to reduce the risks of unsafe recruitment. Infection control processes and procedures reduced the risks to people and staff.

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 being provided with a service which was responsive to their needs. Care records guided staff in how people’s specific needs were to be met. People’s records included their end of life care decisions. People were provided with the opportunity to participate in activity to reduce boredom and isolation. There was a complaints procedure in place. People’s views and concerns were listened to and used to drive improvement.

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 overall (published 26 November 2019).

Why we inspected

The inspection was prompted in part due to concerns received about the safe personal care provided, staffing and governance. We had raised safeguarding referrals regarding some specific concerns to the local authority safeguarding team, who are responsible for investigating concerns of abuse. A decision was made for us to inspect and examine risks to the people using the service. We undertook a focused inspection to review the key questions of safe, responsive and well-led only.

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.

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.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, responsive and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all

Inspection areas

Safe

Good

Updated 15 December 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 15 December 2020

Caring

Good

Updated 15 December 2020

Responsive

Good

Updated 15 December 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 15 December 2020

The service was well-led.

Details are in our well-Led findings below.