Archived: Regency Retirement Home

Updated 7 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Prior to the inspection we looked at information about the service including notifications and any other information received from other agencies. Notifications are information about specific important events the service is legally required to report to us. We reviewed the Provider Information Record (PIR). The PIR was information given to us by the provider. This is a form that asks the provider to give some key information about the service, tells us what the service does well and the improvements they plan to make.

This inspection took place on 21 and 22 February 2018 and was unannounced. Inspection site visit activity started on 21 February 2018 and ended on 22 February 2018. It included looking at records, speaking to people who use the service, talking with staff and phone calls and emails to relatives and health professionals. The inspection was completed by one adult social care inspector.

We spoke with the registered manager and two acting deputy managers of the service and three members of care staff. We spoke with seven people living at the home and four relatives who were visiting. We contacted three health and social care professionals by telephone who gave us feedback on the service provided at Regency Retirement Home.

Updated 7 April 2018

Regency Retirement Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Regency Retirement Home accommodates people in one adapted building and is registered for up to 14 people. There were 12 people at the home at the time of this inspection.

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run

The previous inspection was completed in January 2017. There were two breaches of regulation at that time. At our previous inspection the service was rated as Requires Improvement. At this inspection we found significant improvements had been made to ensure the service was working within the principles of the MCA and people’s care plans had improved. At this inspection we rated the service as Good.

Staff had received training appropriate to their role. Staff had received training around safeguarding and were confident to raise any concerns relating to potential abuse or neglect. Staff received regular supervision from the management team. The administration and management of medicines was safe. There were sufficient numbers of staff working at Regency Retirement Home. There was a robust recruitment process to ensure suitable staff were recruited.

Risk assessments were updated to ensure people were supported in a safe manner and risks were minimised. Where people had suffered an accident, action had been taken to ensure the on-going safety of the person.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were encouraged to make choices about their day to day lives. People were supported to access health professionals. They could choose what they liked to eat and drink and were supported on a regular basis to participate in meaningful activities. People were supported in an individualised way that encouraged them to be as independent as possible.

People and their relatives were positive about the care and support they received. They told us staff were caring and kind and they felt safe living in the home. We observed staff supporting people in a caring and patient way. Staff knew people they supported well and were able to describe what they liked to do and how they liked to be supported.

The service was responsive to people’s needs. Care plans had improved and were person centred to guide staff to provide consistent, high quality care and support. Daily records were detailed and provided evidence of person centred care.

The service was well led. Quality assurance checks were in place and identified actions to improve the service. Staff and relatives spoke positively about the management team. People’s feedback and the views of relatives and staff were sought to make improvements to their experience of the service.

People were supported to take their medicines safely as prescribed. Care and support plans gave staff guidance on how people preferred to take their medication. All relatives were happy with medicine arrangements. The registered manager was reviewing records and current best practice guidelines to show when people with ‘as and when required’ medication needed it.

The registered manager of the service was due to retire, there was no specific timescale for this. Two acting deputy managers had been employed to implement the transition and in time into applying to become joint registered managers. The registered manager told us they felt confident within their abilities to strive to improve the service. We spoke to the two acting deputy managers in depth who told us they were seeking support and guidance to move forward and ensuring the home stayed a safe, effective, caring service providing high quality care to people who lived there.