Admirals Reach Care Home

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Good

Our view of the service

Admirals Reach 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. Admirals Reach provides accommodation, nursing and personal care for up to 158 people in five separate communities each with separate adapted facilities. At the time of inspection, only four of the communities were being used accommodating up to 128 people. People requiring support with general nursing needs resided in Nelson. Jellicoe and Benbow were specialist dementia nursing communities whilst Mountbatten was home to people requiring residential care. At the time of inspection, a total of 117 people were living at the service across the four separate buildings. This assessment was undertaken following CQC’s new approach: https://www.cqc.org.uk/assessment This is our first assessment of the service using this approach which included both on and off-site activities between 24 January and 08 February 2024. We carried out our on-site assessment on 24 and 31 January 2024. We looked at 5 Key Question areas; Safe, Effective, Caring, Responsive and Well Led, and 24 Quality Statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Safe environments; Infection control; Medicine optimisation; Assessing needs; Delivering evidence based care and treatment; Supporting people to live healthier lives; How staff, teams and services work together; Monitoring and improving outcomes; Consent to care and treatment; Independence, choice and control; Kindness, compassion and dignity; Treating people as individuals; Responding to peoples immediate needs; Person centred care; Care provision, integration and continuity; Providing Information; Listening to and involving people; Equity in access; Equity in experiences and outcomes; Governance, management and sustainability.

People's experience of this service

People told us they felt safe and were involved in their care plans. One person told us, “My family can visit me knowing I’m safe here.” Relatives and staff felt there were enough staff working in the service and people said staff were available to support them when they needed assistance. A relative told us, “I'm happy [relative] is here now and [relative] is comfortable and so am I.” The provider had recently increased staffing at the service. Peoples medicines were managed safely, and the registered manager responded proactively to a concern related to ‘as required’ (PRN) medicines. 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 supported with their nutrition and hydration needs. Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. A relative told us, “They're [staff] so kind to them [relative], we see that all the time.” Care plans reflected people’s individual needs and preferences. The provider had systems in place to monitor the quality of the service. Actions were taken and improvements were made when required.