We carried out a review of the data available to us about Regency Retirement Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Regency Retirement Home, you can give feedback on this service.
Regency Retirement Home is a residential care home providing personal care to up to 14 people. The service provides support to people aged 65 and over. At the time of our inspection there were 12 people using the service.
People’s experience of using this service and what we found
Staff were now recruited safely. Records confirmed that all required checks were made before new staff began working at the home.
Risks to people were assessed and managed safely and monitored routinely. Risks associated with legionella had been addressed and maintained to ensure the environment was safe for people.
People were protected from the risk of abuse, and the provider had systems and processes in place to safeguard people. People and relatives told us they felt safe and were positive about the staff who supported them.
Medicines were managed safely, and competency checks were completed to ensure staff were following safe medicine practices.
Staff followed infection control procedures to reduce the risks of infection. People and their relatives told us they felt the home had managed well through the pandemic.
The service was well-led by managers who were passionate about improving care and achieving the best possible outcomes for people. Since the last inspection, quality assurance systems to monitor the safety of the home through audits, had been strengthened. People, relatives, staff and professionals spoke positively about the leadership of the service.
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 7 June 2021) and there was a breach of regulations. 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 unannounced comprehensive inspection of this service on 26 April 2021. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve staff recruitment.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Regency Retirement Home 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.
Regency Retirement Home is a residential care home providing personal care to 11 people aged 65 and over at the time of the inspection. The service can support up to 14 people.
People’s experience of using this service and what we found
Safe recruitment practices had not always been followed and pre-employment checks had not always been undertaken to gather assurances about staff conduct.
Risks relating to legionella bacteria had not been comprehensively assessed to ensure all the required measures were being taken to control the risk of exposure.
Some audits were in place to monitor the service and ensure people received safe care. However, audits were not in place to check that service followed the provider’s policies in relation to recruitment practices and the management of legionella bacteria risks. Following the inspection, the managers were developing systems to address these concerns.
People’s individual risks were assessed. There were clear plans in place to mitigate these risks.
People were supported by staff who were aware of safeguarding adults’ procedures and had received regular training on this topic.
People, relatives and staff felt well informed and involved in service delivery. They said there was open communication between themselves and the managers
People and their relatives spoke positively about the quality of care provided. Staff treated people with kindness, dignity and respect. People were supported to maintain their independence and were empowered to make choices and decisions about their care.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 1 September 2019 due to a change in ownership. This is the first inspection.
The last rating for the service under the provider; Mr & Mrs T Buckingham was good, published on 7 April 2018.
Why we inspected
This was a planned inspection based on the service being newly registered.
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 have identified breach in relation to regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.