Archived: Adeline House Care Home

Updated 13 April 2016

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.

This inspection took place on 22 and 23 February 2016 and was unannounced. Two adult social care inspectors carried out this inspection. During our last inspection in August 2014 we found the provider satisfied the legal requirements in the areas that we looked at.

Prior to the inspection we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the information provided in the PIR and used this to help inform our inspection. We reviewed the records we held about the service, including the details of any safeguarding events and statutory notifications sent by the provider. Statutory notifications are reports of events that the provider is required by law to inform us about.

We used a number of different methods to help us understand the experiences of people who use the service. This included talking with six people who use the service and three relatives about their views on the quality of the care and support being provided.

We looked at documents that related to people’s care and support and the management of the service. We reviewed a range of records which included care and support plans, staff training records, staff duty rosters, staff personnel files, policies and procedures and quality monitoring documents. We looked around the premises and observed care practices. During our inspection we observed how staff supported and interacted with people who used the service. We spoke with the registered manager, area manager and six staff including housekeeping and kitchen staff.

Updated 13 April 2016

We inspected Adeline House on 22 and 23 February 2016. The inspection was unannounced and carried out by two adult social care inspectors.

Adeline House provides accommodation and nursing care and is registered for up to 40 older people including those living with dementia. On the day of the inspection 30 people were receiving care services from the provider. The home had an experienced manager who had been registered with CQC for several years. 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At this inspection we found that people who used this service were safe. The care staff knew how to identify if a person may be at risk of harm and the action to take if

they had concerns about a person’s safety.

The care staff knew the people they were supporting and the choices they had made about their care and their lives. People who used the service, and those who were

important to them, were included in planning and agreeing to the care provided.

The decisions people made were respected. People were supported to maintain their independence and control over their lives. People received care from a team of staff who they knew and who knew them.

People were treated with kindness and respect. One person who used the service told us, "The staff are very nice and never rush me."

The registered manager used safe recruitment systems to ensure that new staff were only employed if they were suitable to work with vulnerable people The staff

employed by the service were aware of their responsibility to protect people from harm or abuse. They told us they would be confident reporting any concerns to a senior person in the service or to the local authority or CQC.

There were sufficient staff, with appropriate experience, training and skills to meet people’s needs. The service was well managed and took appropriate action if expected standards were not met. This ensured people received a safe service that promoted their rights and independence.

Staff were well supported through a system of induction, training, supervision, appraisal and professional development. There was a positive culture within the service. This was demonstrated by the attitudes of staff when we spoke with them and their approach to supporting people to maintain their independence.

The service was well-led. There was a formal quality assurance process in place. This meant that aspects of the service were formally monitored to ensure good care

was provided and planned improvements were implemented in a timely manner.

There were good systems in place for care staff or others to raise any concerns with the registered manager.