Adderley Green Care Centre

Updated 1 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 2008.

Inspection team

This inspection was carried out by 2 inspectors, 1 nurse 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

Adderley Green Care Centre 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. Adderley Green Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who used the service and 4 relatives about their experience of the care provided. We spoke with 12 members of staff including nurses, senior care staff, care staff and domestic staff. In addition, we spoke with the registered manager and a clinical lead. We received feedback on the service from 2 visiting professionals. We reviewed a range of records. These included 6 people's care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 1 March 2023

About the service

Adderley Green is a care home providing personal and nursing care for up to 110 people aged 18 years and over. At the time of the inspection 98 people were living in the home. The home is split across two buildings with each site having their own separate units and separate adapted facilities. One building supports older people who have dementia and the other building specialises in providing care and support to people with complex neurological care and rehabilitation needs.

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

Systems and processes were in place to keep people safe from harm. However, we have made a recommendation to the provider to review incident recording processes.

Some people told us there needed to be more activities provided, the registered manager responded straight away and will address this in the next resident meeting.

Relatives and people told us they felt included in the service and felt confident to raise concerns. Staff told us they felt supported by the registered manager and attended regular meetings.

There was a culture of learning lessons when things went wrong. Safeguarding concerns and incidents were discussed and reviewed in meetings. Staff understand abuse and were confident about reporting any concerns. Staff were recruited safely and received regular training and support.

Risks to people were assessed and mitigated. Care plans and risk assessments were regularly reviewed, and staff knew people well. People and relatives told us they felt the care was safe and person-centred.

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; the policies and systems in the service supported this practice.

The provider and staff worked in partnership with other health and social care agencies to deliver good outcomes for people and ensure their needs were met and reviewed. Visiting professionals told us the provider positively promoted advocacy services.

The registered manager and staff understood their roles, and were clear about quality performance, risks and regulatory requirements. There were robust checks and audits in place to monitor quality and safety.

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 23 August 2022).

Why we inspected

We received a safeguarding concern in relation to the management of people’s PEG care and people’s oral health care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained ‘good’ based on the findings of this inspection.

Recommendations

We have made a recommendation to the provider to review incident recording with their training provider to ensure incidents and 'action taken' are documented with more detail.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.