Ardent Residential Care Home

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

People told us they did not always have access to a range of activities. People’s dignity and privacy was respected. People said staff were caring and supported them to maintain their independence. People were supported to maintain contact with their family and friends.

This service scored 54 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

People were supported to access healthcare professionals when needed. Care records demonstrated this in response to people’s changing needs. A relative told us, "Staff keep us informed about any concerns around healthcare."

Observations and discussions with the registered manager and staff confirmed the service worked with healthcare professionals such as G.P's and Speech and Language Teams [SALT], to ensure people received effective and responsive care.

We saw people’s health needs were met in a timely manner. There was a weekly GP round which enabled the registered manager to discuss any concerns they might have with a person's health. Where needed staff sought appropriate healthcare support such as district nurses or SALT teams. Care notes evidenced Healthcare involvement.

People's needs were assessed before care was provided to ensure the service could meet people's individual health and care needs. People and their relatives told us they were involved in decisions regarding their care planning to ensure information was person- centred. For example, how they would like to be supported in their daily routines. However, some people told us they did not always have sufficient things to do especially those people who chose to stay in their rooms. We saw people were not consistently offered the opportunity to spend their time in a meaningful way. External entertainers came into the home, but people did not have daily opportunities to take part in stimulating activities that reflected their interests.

Staff told us some people took part in different activities such as word searches and looking through books and that external entertainers visited the home. The registered manager explained they had appointed a new member of staff to oversee activities within the home. However, the new member of staff had only been in post for two days at the time of this assessment this meant there was not enough time to embed improvements into the service.

Systems and processes to support people to follow interests and to take part in activities that are socially and culturally relevant to them were not consistently in place. Although some activities were offered to people, some people told us they were bored. Although external entertainers came into the home, people did not have daily opportunities to take part in stimulating activities that reflected their interests. Care records were in the process of being updated but at the time of this assessment did not reflect how people would prefer to spend their time. During our assessment most people were sat in the lounge and had only the television, turned down low, to entertain them. At the last inspection we identified a breach of regulation relating to person-centred care as people did not always receive care that met their needs or reflected their preferences. At this assessment not enough improvement had been made and the provider remained in breach of this regulation. Although the new registered manager had appointed a new member of staff to lead on activities. However, the new member of staff had only been in post for two days at this assessment and this meant there was not enough time to embed improvements into the service. We continued to find people did not always receive care that met their preferences and this led to a continued breach of the regulation relating to person-centred care.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.