Background to this inspection
Updated
8 March 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 2014.
Inspection team
The inspection team consisted of two inspectors, and an assistant inspector.
Service and service type
Aveland Court 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. Aveland Court is a care home without 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 the provider was also the registered manager. We refer to them as the provider in this report.
Notice of inspection
This inspection was unannounced
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service under the new provider. We sought feedback from the local authority and professionals who work with the service.
During the inspection
We spoke with 11 people who lived at the service. We spoke with 11 members of staff which included the provider, deputy manager, administrator, care staff, cook, cleaning staff, maintenance worker and activities coordinator. We reviewed a range of records, including 11 people's care records and medicines records. We looked at 3 staff files in relation to recruitment and staff support and a range of records relating to how the service operated and was managed. We reviewed the provider's policies and procedures.
Updated
8 March 2023
About the service
Aveland Court is a residential care home providing personal care to up to 30 people. The service provides support to older people some of whom are living with dementia. At the time of our inspection there were 19 people using the service.
People’s experience of using this service and what we found
People received person-centred care from staff who knew them well and understood their needs and preferences.
People received their medicine safely and as prescribed. Improvements were needed in relation to ‘as and when’ medicines guidance and the recording of medicines delivered through patches. We made a recommendation about this.
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. However, we made a recommendation in relation to having the correct documentation in place to demonstrate the service was working within the principles of the Mental Capacity Act 2005.
The service was well-led. The provider had a clear vision for the direction of the service and showed their commitment to working in a person-centred way. Systems and processes were in place to monitor and evaluate quality of the service people received to manage risks and drive improvement.
People told us they were happy living at the service, and they were cared for by kind and caring staff that treated them with dignity.
People told us they felt safe living at the service. There were systems in place to protect people from abuse and staff had received training on safeguarding and knew how to respond to any allegation of abuse.
Appropriate checks were carried out before staff began working at the service to ensure they were suitable to work with people. Staff had received appropriate induction, training and support which ensured they had the skills and knowledge to care for people.
Risks to people's safety were managed well and frequently reviewed. Person centred care plans were developed with people and their families, and included people's life stories, preferences and wishes.
Staff followed safe infection control practises and all relevant personal protective equipment (PPE) was seen to be used.
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 16 September 2022 and this is the first inspection.
The last rating for the service under the previous provider was requires improvement published on 5 November 2022.
Why we inspected
This was a planned inspection to provide a rating for the service.
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.
Recommendations
We have made two recommendations in relation to medicines management and complying with the principles of the Mental Capacity Act.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.