The Adelaide Nursing Home

Updated 18 September 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by one inspector and one assistant inspector.

Service and service type

The Adelaide Nursing 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including the provider, registered manager, a registered nurse, the chef, an activities coordinator and care workers. We observed care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at additional quality assurance records. We spoke with two further relatives and two professionals who have regular contact with the service.

Updated 18 September 2021

About the service

The Adelaide Nursing Home is a care home providing personal and nursing care for up to 35 people aged 65 and over with a wide range of healthcare needs. At the time of the inspection, there were 33 people living at the service.

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

People told us they felt safe. Staff understood how to identify and report concerns in order to protect people from harm. Risks were assessed and managed well. Staff were safely recruited and there were enough staff available to support people. Medicines were administered in a safe and personalised way.

People and their relatives spoke positively about the staff at the service, describing them as kind and caring. Staff knew people well and treated them with dignity, respect and as individuals. Where able, people were supported to maintain their independence.

Care was delivered by appropriately trained staff. One person told us, “The staff are brilliant. They all seem to know what they’re doing.” Additional training was provided to staff to meet the specific needs of people they supported. Staff told us they were well supported, and they received regular supervision. People were happy with the meals they received and had access to healthcare services where required.

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. Care plans were personalised and included details of people’s needs, choices and preferences.

The service was well-led and had an open culture which encouraged communication and learning. People, relatives and staff spoke positively about the registered manager and were encouraged to provide feedback about the service.

Robust quality assurance audits were carried out to identify any shortfalls within the service and these were 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 (published 21 February 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach. 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.

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.