Archived: Anglebury Court

Anglebury Court is registered to provide accommodation and personal care for up to 32 older people. At the time of the inspection there were 30 people living at the home. The home was divided into four distinct areas, each had its own kitchen, dining room / lounge area. The home has a designated ‘memory lane’ area, which had items to promote reminiscence.

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

The service had improved the arrangements for managing medicines safely. We saw medicines were managed and administered safely by trained staff.

Staff were deployed more effectively than at the last inspection. An additional three members of staff were rostered at busy times of the day to help people during meal times, activities and peoples’ evening routines. There were sufficient numbers of trained, experienced staff to meet people’s needs.

People told us they were happy and felt safe. Relatives said that staff had a good understanding of their loved one’s needs and preferences. Risks had been identified and measures put in place to keep people safe from harm.

People, professionals and their families described the staff as being friendly, cheerful, helpful and caring. The atmosphere of the home was relaxed and engaging.

Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice.

Care plans were personalised and updated in response to people’s changing needs. Staff listened to what people wanted and acted quickly to support them.

The service supported people to access healthcare services and were encouraged to be involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people.

Safe recruitment practices were followed, and appropriate checks completed to ensure that only suitable staff were employed. Staff received induction and on-going training and support that enabled them to carry out their roles positively and effectively.

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, and where appropriate their relatives, were involved in decisions about their care.

Leadership was visible and promoted good teamwork. People, professionals and staff spoke highly about the management and staff had a clear understanding of their roles and responsibilities. The registered manager and staff team worked together in a positive way to support people to achieve their own goals and to be safe.

Checks of safety and quality were made to ensure people were protected. Work to continuously improve the service was ongoing and the registered manager was keen to make changes that would impact positively on people's lives.

Governance systems and oversight of the service ensured any issues were identified, and actions taken to address any shortfalls.

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 29 April 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.

This was the first inspection of Anglebury Court since it became registered under the ownership of Tricuro Limited. At the time of the inspection a registered manager was in post but they were taking up secondment opportunities within Tricuro. The organisation had informed us of this and we were supported to carry out the inspection by the acting 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.

Anglebury Court is registered to provide accommodation and personal care for up to 32 older people. At the time of the inspection there were 26 people in residence.

The provider had systems in place for the storage, recording and dispensing of medication which required some improvement. Not all of the recording of medicines administered had been recorded in line with the expectations of the provider. The acting manager acknowledged that improvements were required and talked to us about how they would implement these.

There were sufficient staff employed at the home but the way they were deployed at key times of the day required further consideration. We observed the lunch period in one area and noted that one staff member supported six people with a variety of needs from just being served their dinner to providing full support with assisting a person to eat. The registered manager agreed to talk with staff to look at different ways of working during these times to ensure people and staff had a better experience of the social time.

The provider was meeting the requirements of the Mental Capacity Act 2005 and assessments of people’s capacity had consistently been made but the provider needed to ensure that the assessment records were accurate. Staff understood some of the concepts of the Act, such as allowing people to make decisions. Staff demonstrated that they could apply this to everyday life.

The provider had systems in place to ensure the quality of the service was regularly reviewed and improvements were made. The care and support people received were regularly audited and areas for improvement recognised. Staff knew people’s needs and the records relating to people’s care and support were kept up to date.

People told us that the staff met their care needs well. One person told us “The staff look after me well and I have plenty of friends here. Others talked about being treated well and with kindness”. We observed this to be the case. The relatives we spoke with talked about the home being embedded in the community and enjoyed support from the community.

Staff knew people’s routines and respected them. Staff knew how to support people when they became anxious and had effective ways of addressing this. Staff understood people’s unique communication styles and took time to listen carefully to what they were being told.

Staff demonstrated a caring and compassionate approach to people living at the home. People were offered choices at mealtimes such as where to sit and what to eat. The provider had a system to offer choice of what to eat during mealtimes that was effective.

People told us they felt supported at the home and safe in the company of staff. The staff told us they worked well as a team and enjoyed working at the home. They told us they sometimes had time to sit and talk with people and to do things with them that they knew interested them. We observed this to be the case during the inspection.