Adel Manor Care Centre

Updated 2 March 2024

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 1 inspector, a medicines 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

Adel Manor Care Centre 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. Adel Manor Care Home 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 not a registered manager in post. A new manager had been in post for seven months and had submitted an application to register. CQC are currently assessing this application.

Notice of inspection

This inspection was unannounced. Inspection activity started on 18 January 2024, the first visit was undertaken on 18 January 2024 by the inspector, on the second day, 23rd January 2024 the inspector and expert by experience visited and the medicine inspector visited on 25th January 2024.

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, Health Watch and professionals who work with the service. Health Watch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

During the inspection

We observed how people were being cared for to help us understand the experience of people who could not tell us about their experience. We spoke with 8 people who used the service, 7 relatives and 10 members of staff including the manager, team leaders, care assistants and chef. We reviewed a range of records. This included 5 people's care records and 9 people's medicine records. We looked at 3 staff recruitment files. A variety of records relating to the management of the service were reviewed.

Updated 2 March 2024

About the service

Adel Manor Care Centre is a residential care home providing accommodation and personal care for up to 74 older people. At the time of our inspection there were 66 people using the service. The home is purpose-built and accommodates people over three floors. Adel Manor Care Centre supported the local authority and hospital with 30 ‘Discharge to assess’ or transitional beds to provide a service to people leaving hospital with a view to return to their own homes or other care facilities.

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

People were protected from the risk of abuse as staff were aware of their safeguarding responsibilities. Risks to people had been identified and assessed. Processes were in place to ensure people received their medicines as prescribed. Staff followed infection control guidance and had access to Personal Protective Equipment (PPE).

Robust recruitment and selection processes were in place to ensure staff were suitable to work with vulnerable people. Although rotas showed staffing as sufficient and followed the dependency tool, peoples experience of staffing levels was mixed with some people feeling there was not enough staff and calls bells were not answered within a reasonable time period.

People's nutritional and hydration needs were met including any risks associated with food and fluids, however some people told us that food was sometimes cold when it was served, that portion sizes were small and that cultural options were not always available to meet individual’s needs. This was discussed wit the manger who confirmed that work had been undertaken to improve people dining experience.

During our observations we saw staff being kind and caring in their approach, however people’s experiences did not always match with this. People told us they felt rushed sometimes and some staff could 'be indifferent' with one person saying," They always appear to be in a rush to get out of the room." People's privacy, dignity and independence were generally promoted, however again this was not the experience for all, with some people telling us they had to wait long periods for call bells to be answered.

People and their relatives were asked for their views about the quality of the care delivered at the service through surveys and meetings. People had access to healthcare services when required to meet their needs.

The service had a new manager who is currently registering with CQC. Focus was on improving the quality of care and service along with developing staff knowledge and skills. Regular audits were completed by the management team to check the safety and quality of the service delivered. This included competency checks of staff practice.

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

Rating at last inspection

This service was registered with us on 11th April 2022, and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about medicines, staffing and meals. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from these concerns.

Recommendations

We have made 3 recommendations in relation to staff interaction, call bell answer times and staff deployment and peoples dining experience.

Follow up

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