The inspection took place on 20 and 24 March 2017 and was unannounced. This meant staff and the registered provider did not know that we would be visiting. This was the first inspection of the home since the current provider was registered to run the service April 2016. The provider Indigo Care Services is part of the Orchard group of homes.
Archers Park provides care for up to 40 older people, most of whom are living with dementia. At the time of our inspection there were 38 people using the service.
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 told us they received good care from kind and considerate care workers. They also said they felt safe living at the home. Relatives and care workers also felt the home was safe.
Care workers knew how to report safeguarding and whistle blowing concerns. Previous safeguarding concerns had been dealt with appropriately.
People had been assessed to identify whether they could be at risk of harm. Measures were identified in the relevant care plans to reduce potential risks and help keep people safe.
There were enough care workers on duty to provide support and assistance to people. People and care workers also said staffing levels were sufficient.
Effective recruitment procedures and checks were in place to help ensure only suitable were employed at the home.
Records confirmed medicines were managed safely. Care workers completed relevant training and had been assessed as competent to administer medicines. People confirmed they received their medicines when they were due.
Accidents and incidents were logged, investigated and monitored to check appropriate action had been taken.
Health and safety checks were completed regularly. The provider had developed procedures to ensure people continued to receive the care they needed in an emergency situation.
People told us they received their care from an experienced and competent staff team. One person said, “Staff seem to know what they are doing and give me good care.” Another person told us, “The staff seem to be competent, well trained.”
Care workers received the support and training they needed. Training, supervisions and appraisals were up to date when we inspected the home.
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. DoLS authorisations were in place for relevant people and care workers supported people to make as many of their own decisions as possible.
People gave us positive feedback about the meals provided at the home. We saw care workers supported people with eating and drinking in line with their assessed needs. Where required people had been referred to external health professionals, such as dietitians and speech and language therapists for addition specialist support.
The provider had adapted the environment to make it more suitable to the needs of people living with dementia.
People’s needs had been assessed and the information used to develop personalised care plans. Care plans were reviewed regularly. Care records contained a life history for each person which provided information to help care workers gain a better understanding of each person’s needs.
Activities were provided for people to participate in if they chose to. These included pampering sessions, arts and crafts, singing and gardening.
People had opportunities to share their views through attending residents’ meetings or completing questionnaires.
People said they did not have any concerns about their care but knew how to complain if needed. One complaint made in the past 12 months had been investigated and resolved in line with the provider’s complaint policy.
People, relatives and care workers said the registered manager was approachable. Care workers described the home as having a friendly and welcoming atmosphere.
The provider had a range of internal and external quality assurance audits to monitor the quality of people’s care. An action plan had been developed which identified areas for improvement. At the time of our inspection all actions had been signed off as complete.