Astbury View

Updated 20 December 2019

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

The inspection was carried out by one inspector.

Service and service type

Astbury View is a ‘care home’. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a new manager who was registered with the CQC. The registered manager and the provider were legally responsible for how the service was run and for the quality and safety of the care provided.

Notice of inspection

The inspection was unannounced.

What we did.

The provider had not been asked to complete a new Provider Information Return prior to this inspection. This is information we require providers to 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 since the last inspection. We attempted to secure feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used this information to plan our inspection.

During the inspection

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with two people who used the service and three relatives about their experience of the care provided. We reviewed a range of records. This included, health action plans, communication care plans and medication records. We looked at three staff files in relation to recruitment and staff supervision, and a variety of records about the management of the service including policies and procedures. We looked at the premises which included two people’s bedrooms.

Updated 20 December 2019

About the service Astbury View had a registration to provide personal care and accommodation to a maximum of nine people. People who lived there may have a learning disability and/or autism. At the time of the inspection eight people lived at the home.

The service applied the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people who used the service can live as full a life as possible and achieve the best possible outcomes that include control, choice, and independence. People using the service received individualised care and support to meet their needs.

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

The provider had quality assurance systems in place and action had been taken to continually drive improvements. However, a number of issues identified during the inspection had not been picked up by managerial observations or by in-house audits.

People felt safe and were supported by staff who had received training in how to recognise, report and act on any signs of abuse. People told us they were supported by staff who kept them safe and protected them from harm. Staff had reported any concerns regarding abuse to the registered manager. The registered manager had notified us and the local authority of incidents and concerns as is required by law. Staff were aware of people’s individual risks and systems had been applied to minimise those risks Recruitment processes ensured staff were safe to work with people. The registered manager had an on-going recruitment drive to ensure staffing levels would be consistently maintained. In general medicines were managed safely and were administered as they had been prescribed. Accidents and incidents had been analysed and where required changes had been made to practice preventing future occurrences. The premises were visibly clean.

People’s needs were assessed regularly or when a change in their condition and/or circumstances required re-assessment. Staff had received a range of training to enable them to support people adequately. To promote people’s health and well-being, people had access to a range of healthcare services on an as needed or regular basis. Staff supported people in the least restrictive way possible and in their best interests. The principles of the Mental Capacity Act (2005) were followed. People were offered a varied and healthy diet that met their likes and any special requirements. People’s preferred colours and accessories had been considered with the current re-decorating and refurbishment plan.

People and their relatives told us the staff were polite, kind and promoted people’s dignity, privacy and independence. The atmosphere of the home was friendly. People had been supported to make decisions about their daily routines and how they wished to live their lives. Visiting times were open and flexible.

People were involved in the development of their care plans. Relatives were involved in reviews of their family member’s care and support. People had no complaints and were confident that if they raised concerns they would be dealt with appropriately.

Relatives and people had been asked to give feedback on the service provided. People and their relatives were complimentary of the registered manager and the service provided.

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 10 July 2017).

Why we inspected

This was a planned inspection based on the 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.