Updated 14 February 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by 1 inspector.
Service and service type
Avondale Rest Home 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. Avondale Rest Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a manager in post, and they had submitted an application to be formally registered with the Care Quality Commission.
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. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all 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 4 people who use the service about their experience of Avondale Rest Home. We spoke with the provider and the newly appointed manager. We reviewed a range of records. This included 5 people’s care records and 7 people’s medication administration records. We looked at 5 staff files in relation to their recruitment, induction and training. A variety of records relating to the management of the service, quality assurance information and policies and procedures were viewed.
Following the inspection, we texted 5 members of staff, asking them to contact us so we could speak to them about their experience of working at Avondale Rest Home. We also contacted 4 relatives so we could talk to them about their experience of the service. We spoke with 4 members of staff and 3 relatives.