Breadalbane Residential Home

Breadalbane Residential Home is a care home that provides accommodation and personal care for older adults, including adults who are living with dementia. The home can accommodate up to 15 people in one building over three floors. At the time of this inspection, there were 13 people residing at Breadalbane Residential Home.

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

Where there were systems and processes in place to monitor and improve the quality of the service provided these were ineffective as they had not picked up on the issues identified at this inspection. The service did not always check and maintain the premises and equipment to ensure people were safe.

Staff understood what it meant to protect people from abuse. Safe procedures were in place to make sure people received their medicines as prescribed. People gave us mixed feedback about the number of staff deployed.

We have made a recommendation the provider review their dependency tool and the deployment of staff.

Staff were provided with relevant training to make sure they had the right skills and knowledge for their role. Staff were supported in their jobs.

Staff understood the requirements of the Mental Capacity Act 2005. 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.

People told us they enjoyed the food served at Breadalbane, which we saw considered their dietary needs and preferences.

People were supported to access relevant health and social care professionals to ensure they were getting the care and support they needed.

Positive, caring, and supportive relationships had been developed between people and staff. People were treated with dignity and respect.

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 the service under the previous provider was good (published on 08 January 2018).

Why we inspected

The inspection was prompted in part due to concerns about infection control. A decision was made for us to inspect and examine those risks.

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.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment and good governance at this inspection.

We have found evidence that the provider needs to make improvement. You can see what action we have asked the provider to take at the end of this full report.

Follow up

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