Queens Court

Updated 9 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

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 carried out by three inspectors and an Expert by Experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Archers Point Residential Home 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.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post

Notice of inspection

This inspection site visit took place on 31 May 2022 and was unannounced.

What we did before the 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 one person and two relatives to seek their views about the service. We spoke with three members of care staff, the new home manager, the deputy manager and the registered manager. We reviewed records, including the care records of nine people using the service and recruitment files and training records for three staff members. We also looked at records related to the management of the service such as quality audits, accident and incident, and policies and procedures. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 9 August 2022

Archers Point Residential Home is a residential care home that provides accommodation and care for up to 33 older people, some of whom may be living with dementia. There were 18 people using the service at the time of our inspection.

People's experience of using this service There were widespread safety concerns that left people at risk of harm. Risks were not always assessed, identified or updated and risk management plans were not always in place to manage risks safely. Care records were not always completed and monitored in line with people’s individual needs. Medicines were not always safely managed. There were not enough housekeeping staff deployed to keep the home clean. There was no fire evacuation strategy in place, staff had not received fire equipment training. Some mobility equipment was not regularly cleaned or maintained. Not all staff training was up to date and staff were not supported through regular supervisions. Governance and audit systems were not effective at identifying and reducing risks to people's safety. There was a lack of effective leadership and oversight of the service. The provider had not implemented improvements required since their last inspection.

People told us they felt safe and that staff were caring. Assessments were carried out prior to people joining the service to ensure their needs could be met. 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 encouraged and supported to eat a healthy and they received a well-balanced diet. People had access to healthcare services when required to maintain good health.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating:

The last rating of the service was Inadequate (published on 18 February 2022) when we carried out a focused inspection. The service was rated 'Inadequate' and was therefore in special measures. The provider was asked to complete monthly plans and send them to us to address the concerns we found.

Why we inspected:

This inspection was carried out to follow up on action we told the provider to take at the last inspection. At this inspection we found the provider remained in breach of regulations.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Archers Point Residential Home on our website at www.cqc.org.uk.

Enforcement:

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

We identified breaches in relation to risks, medicines management, poor standards of housekeeping and infection control, fire safety, staff training, parts of the premises was unclean and not maintained, and there were no robust systems in place to assess and monitor the quality of the service provided. There was a lack of effective leadership and oversight of the service.

The overall rating for this service is 'Inadequate' and the service therefore continues to be in 'special measures'. This means we will keep the service under review.

Follow up: We will continue to monitor the service closely and discuss ongoing concerns with the local authority. We will continue to monitor the service and if we receive any concerning information we may inspect sooner.