16 August 2023
During a routine inspection
Airedale Residential & Dementia Home is a residential care home providing personal care for up to 40 people. The service provides support to adults some of whom may be living with dementia, have mental health needs and/or a physical disability. At the time of our inspection there were 35 people using the service. Accommodation is provided over 3 floors in an adapted building with lift access between the floors. Communal areas are located on the ground floor.
People’s experience of using this service and what we found
People’s medicines were not always managed safely. Risks to people were not identified, assessed or mitigated. The home was not kept clean and hygienic. There were not enough staff to meet people’s needs and keep them safe. People’s privacy and dignity was not always respected.
Audit systems and processes were not robust as issues we found at inspection had not been identified or addressed. However, the provider and registered manager acted promptly in taking action to address the issues and to make improvements during the inspection.
People’s feedback about the food was mixed. People did not always receive a choice or the support they required from staff at mealtimes. We were not assured people’s dietary needs were being met.
We have made a recommendation about meeting people’s dietary choices and preferences.
People were generally happy with the care they received and spoke positively about the staff who supported them. Staff knew people well and were kind and caring. Activities were provided, although people told us they would like more variety and opportunities to go out. People were supported to keep in touch with family and friends. People had access to healthcare services.
Some areas of the home were well decorated and comfortably furnished. In contrast other areas required further improvements. The provider had a refurbishment plan in place to address these issues. Staff received the training and support they required to meet people’s needs. Staff were recruited safely, with appropriate checks carried out.
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 14 December 2021 and this is the first inspection.
The last rating for the service under the previous provider was good, published on 5 December 2017.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
Enforcement
We have identified breaches in relation to safe care and treatment, privacy and dignity and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.