About the service: Adeline House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. It is a single storey premises situated in the market town of Thorne near Doncaster. The home can accommodate up to 40 people with differing needs, including younger people and people with a physical disability. At the time of our visit Adeline House was providing care to 24 older people, some of whom were living with dementia. Nursing care is also provided.
People’s experience of using this service:
At this inspection we found the registered manager and provider had acted on the feedback from the last inspection to make improvements to the service. We found evidence to support an overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.
People who used the service and their relatives were positive about the care they received at Adeline House. Their comments included, “I feel safe and I’m settled here,” and “There is a lovely feeling here.”
Since the last inspection refurbishment and redecoration work had been completed which had greatly improved the appearance of the home. The environment was clean, bright and homely. The registered manager and staff had also worked closely with other healthcare professionals to improve the systems for good infection prevention and control.
People were safe because there were effective risk assessments in place, and systems to keep them safe from abuse or avoidable harm. Also, medicines were managed safely and people were supported to ensure their health needs were met.
Observations and discussions with staff indicated there were enough staff on duty to make sure people’s needs were met in a timely manner. The service relied on regular agency staff to fill gaps in the rota and further recruitment was underway.
Systems in place ensured the needs of people were identified and respected. People, and those who were important to them, were at the heart of the service and were encouraged to be involved in decisions and developing their support.
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 provided with a varied diet that met their needs and preferences. They told us they liked the food offered at the home. We saw meals, drinks and snacks were provided throughout the day and these took into consideration people’s individual likes and dislikes.
The registered manager, nurses and care staff recognised the importance of promoting equality and diversity. Staff also maintained people’s privacy and dignity when providing personal care and support.
We spent time observing staff interacting with people and found they were kind, caring and supported people in a sensitive way. Staff were very patient and gave people time and opportunities to remain independent.
Each person had a care plan. However, not all care plans had been reviewed and updated to reflect the current needs of people who used the service. We discussed this with the registered manager and the registered provider and they took immediate and responsive action to ensure all care plans were updated in a timely manner.
There was a complaints procedure and we saw a system was in place to log any complaints
received. People who used the service knew how to make a complaint.
The home worked well with local authorities who commissioned the service and health care professionals to achieve the best outcomes for people.
Quality assurance systems were in place to monitor and continually improve the quality of the service provided.
Rating at last inspection:
Requires improvement (report published on 25 June 2018).
Why we inspected:
This was a planned comprehensive inspection based on the rating awarded at the last inspection.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.