Archived: Addison Court

Updated 13 February 2020

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.

Inspection team

This inspection was carried out by one inspector, one 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

Addison Court 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.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Our planning considered the information we received from the registered manager since the last inspection which included; safeguarding incidents and serious incidents. We also received information from local authority commissioners. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We reviewed a range of documents which included; The care records of five people, the medicines records for eleven people, audits of care records and practice completed by the provider, hand over documents and daily records relating to food and drink. We spoke with five people who lived in the home and three of their relatives. We spoke with seven staff, including; the registered manager, operations manager, clinical lead, nursing staff, care staff and kitchen staff. We toured the building including all communal areas, laundry, kitchen and some bedrooms.

Updated 13 February 2020

About the service

Addison Court is a purpose built residential and nursing home providing personal and nursing care to up to 48 people. At the time of the inspection there were 34 people living in the home. There were three floors which accommodated residential care, general nursing care and dementia nursing care. Accommodation was provided in single bedrooms. There were several communal areas and a secure garden area.

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

People were protected from the risk of abuse and avoidable harm by robust policies and procedures. People told us they felt safe in the home. Medicines were managed safely by trained staff whose competency was checked regularly by the management team. Staff had been recruited safely, there had been an increase in staffing, which provided improved oversight and consistency. The home was clean and well maintained, people praised the housekeeping staff.

People's needs had been properly assessed, care plans described how people preferred their needs to be met. People were supported by trained staff who understood their needs and preferences. People told us they enjoyed the food and were given a lot of choice. Snacks and drinks were available throughout the day and at night. People were supported to have maximum and control of their lives and staff supported them in the least restrictive way possible and in their best interests.

People felt staff were kind and caring. Staff interacted regularly with people and were committed to treating people with respect. People were supported with dignity and felt reassured when receiving support with personal care. Staff understood how to involve people in day to day decisions about their care and sought their views regularly throughout the day.

People received person-centred care, their needs were reviewed and updated regularly to ensure care remained up to date. People said they could shower as often as they wanted and could get up and go to bed when they chose. People told us there was plenty to do and they enjoyed the activities available. Some people preferred to stay in their rooms. People could be supported at the end of their lives by trained staff.

The home was well-led. The registered manager ensured people received consistently good care by completing regular checks of care practice and records. Staff reported feeling motivated and well supported. People in the home told us they had noticed improvements and knew who the registered manager was. People were supported to share their views and the registered manager responded to people's wishes.

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

Rating at the last inspection

The last rating for this service was inadequate (06 August 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 6 August 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on our previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.