Aadamson House Care Home

Updated 31 May 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 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

The inspection was carried out by 2 inspectors.

Service and service type

Aadamson House 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.

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 was unannounced. Inspection activity started on 25 April 2023 and ended 28 April 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and commissioners who work with the service. We also looked at information we had received and held on our system about the home, this included notifications sent to us by the provider and information passed to us by members of the public. The provider did not complete the required Provider Information Return (PIR). This is information providers are required to send us annually with key information about the service, what it does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people who lived at Aadamson House,1 relative and the registered manager. In addition, we spoke with 5 members of staff including senior carers, domestic staff, catering staff and the provider. We observed staff interaction with people, also, we reviewed a range of records. These included care records of 3 people, medication records, and 3 staff files in relation to recruitment. We also reviewed records relating to the management and maintenance of the service. We had a walk around the premises and looked at infection control measures.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. We looked at staff training records the provider had in place.

Updated 31 May 2023

About the service

Aadamson House is a residential care home in the Preston area providing personal care to 22 people at the time of the inspection. The service can support up to 32 people. There are two floors with lift access to the first floor.

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

We found medicines were administered safely. A staff member said, “We have good systems with experienced trained staff on medicines.” Risks to people were assessed and managed to ensure correct information was available for staff to deliver support for people. We found procedures for the recruitment of staff to be thorough. Staffing levels were sufficient during the 24-hour period with a mix of care, management and domestic staff. One person said, “They [staff] always come when I ask for assistance quickly.” Maintenance checks were in place and up to date. Staff were seen to wear appropriate personal protective equipment (PPE) as latest guidance stated. Safeguarding training was provided, and staff spoken with confirmed this. Staff were aware of the processes to follow to enable people to be safe.

The registered manager had a training programme to support staff to improve their skills and knowledge. 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. The registered manager had good systems in place to reduce the risk of malnutrition and monitor people’s food and drink intake. People were complimentary about the quality of meals. One person said, “Cannot grumble with food the cook is fine and you can have a choice, always plenty.”

The provider was clear about their responsibilities to notify CQC of incidents that occurred at Aadamson House. People told us they had confidence in the registered manager and management team who were open and transparent. They sought people's views in various ways. Staff spoke positively of the management team and felt supported in their role.

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 25 March 2022.)

Why we inspected

We received concerns in relation to the management of home, quality assurance systems, the environment and people’s care needs. As a result, we undertook a focused inspection to review the key questions of safe, effective 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.

We found no evidence during this inspection that people were at risk of harm. Please see the safe, effective and well-led sections of this report.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Aadamson House on our website at www.cqc.org.uk.

Follow Up

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