Adeline House Care Home

Updated 26 April 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

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

The inspection was carried out by an inspector 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

Adeline House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Adeline House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who used the service and 2 relatives about their experience of the care provided. We spoke with 7 members of staff including the deputy manager, clinical lead, care workers and ancillary staff. We reviewed a range of records. This included 4 care records and multiple medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 26 April 2023

About the service

Adeline House is a residential care home providing personal and nursing care. The home can accommodate up to 40 people with differing needs, including younger people and people with a physical disability and older people. At the time of our inspection there were 25 people using the service, some of whom were living with dementia.

People’s experience of using this service and what we found

The provider had a safeguarding procedure in place and maintained a record of concerns raised. Staff received training in safeguarding and knew what action to take to keep people safe. Risks associated with people's care had been identified and actions taken to mitigate risks. The providers recruitment policy assisted them to employ suitable staff. There were sufficient staff available to respond to people's needs and people were unhurried. People received their medicines as prescribed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Care plans were written in a person centred way. People were supported by staff who knew them well. Activities and social stimulation were organised and provided by an activity co-ordinator.

The provider had a complaints procedure and people we spoke with felt comfortable raising concerns.

The deputy manager and clinical lead were managing the home in the absence of the registered manager and were working well together. A range of audits took place to monitor the quality of the home. However, these did not always evidence what action had been taken to address issues.

Staff worked alongside healthcare professionals and in partnership with others to ensure people received appropriate support.

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

Rating at last inspection

The last rating for this service was good (published 9 April 2019).

Why we inspected

We received concerns in relation to staffing, person centred care, and the leadership of the service. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.