Aire View Care Home

Aire View Care Home consists of an 84-bed facility across three floors with an emphasis on independent living. All rooms have en-suite shower and toilet facilities. There are several lounges, dining and quiet areas. All floors are connected by a passenger lift. On both days of our inspection there were 79 people living at Aire View.

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

The registered manager and the deputy manager were responsive to any concerns we raised during the inspection; implementing corrective actions immediately where this was apparent and discussing plans where further improvements were required.

Care plans were mostly person-centred, but they had not consistently been updated and reviewed to ensure they reflected people’s current needs. The registered manager had put plans in place to address this. Staff understood the importance of providing person-centred care and had developed positive relationships with people.

The management of people’s medicines was safe. There were enough staff deployed on both days of the inspection to ensure people received their required care and support. The provider followed safe recruitment procedures. People felt safe and staff understood how to identify and report any safeguarding concerns. Risks to people’s health and safety were assessed and mitigated. Effective management systems for the prevention and control of infection had been established. Some carpets and furniture were in the process of being replaced.

The service had been suitably adapted to include the use of signage and decoration to assist people to orientate themselves. There was easy access to a large well-maintained the garden with stimulating features. The provider was taking steps to make the living environment more dementia friendly.

Staff had received appropriate induction, had completed mandatory training and supervision was conducted. The registered manager said they were a little behind with staff appraisals but had plans in place to address this. The registered manager displayed a commitment to providing high quality person-centred care. People told us staff were kind and caring and we saw people’s dignity and privacy were respected. Staff had a clear understanding of, and how to support, people's individual and diverse needs. People received enough to eat, and drink and their mealtime experience was unhurried, relaxed and people received the right amount of support in a timely way. People were supported to use and access other healthcare professionals.

People had access to a good range of activities and the provider worked with other organisations, to meet people’s needs. 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.

People, relatives and staff had the opportunity to provide feedback on the service received. There was a system to respond to any complaints. People and their relatives were supported to receive information in an accessible way to enable them to be involved in their care and support. The service had a quality assurance system in place. Accidents and incidents were analysed, and action taken were needed. Staff said the registered manager was supportive and approachable.

We have made a recommendation in the ‘responsive’ section of the full report about some areas of people’s care plans and the care planning process.

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 19 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor the service through information we receive. Further inspections will be planned for future dates as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Aire View Care Home is located in the heart of a busy local community and overlooks the river Aire. It is convenient for local shops that include a supermarket close by. The home consists of an 84 bed facility across three floors providing residential care and care for some people living with Dementia. All rooms have en-suite shower facilities. There are several lounges, dining and quiet areas. All floors are connected by a passenger lift.

At the time of this inspection the home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service told us they felt safe with the care they were provided with. We found there were appropriate systems in place to protect people from risk of harm. Overall, safe systems were in place to manage medicines so people received their medicines as prescribed. There were enough staff on duty to make sure people’s care needs were met. Recruitment processes were robust and thorough checks were completed. The home had enough suitably trained staff to care for people safely. Staff received regular support and supervision.

We found people had access to healthcare services to make sure their health care needs were met. People’s needs were fully met with regard to the provision of food and drink. The care plans we looked at contained appropriate mental capacity assessments. We found the service was meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS).

People told us they liked the staff and found them kind and caring. We saw staff had a good rapport with people, whilst in the main treating them with dignity and respect. There was opportunity for people to be involved in a range of activities within the home or the local community.

Care plans contained detailed, person centred information to guide staff on the care and support required and contained information relating to what was important to the person. These were reviewed regularly and showed involvement of people who used the service or their relatives. However, the information was at times generalised.

People had opportunity to comment on the quality of service and influence service delivery. Quality assurance systems were in place which ensured people received safe, quality care, however, the recording of when actions had been completed needed strengthening. Further development of some documentation was also required, which included people’s personal evacuation plans and ‘as and when’ required medication guidance. Complaints were welcomed and were investigated and responded to appropriately.

People had detailed care plans relating to all aspects of their care needs. They contained a good level of information setting out exactly how each person should be supported to ensure their needs were met. People we spoke with told us they were happy with the care and support they received. One person told us, 'Its lovely, I get on well with everyone. I am looked after well.'

We observed people were cared for in a clean, hygienic environment. There were effective systems in place to reduce the risk and spread of infection. The people we spoke with told us they had no concerns with the cleanliness of the home.

We found that people were supported by sufficient numbers of qualified, skilled and experienced staff which met people's needs. People who used the service that we spoke with told us there were always enough staff to help them when they needed support.

There were quality monitoring programmes in place, which included people giving feedback about their care, support and treatment. This provided a good overview of the quality of the services provided.