Anville Court Care Home

Updated 8 December 2022

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.

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

This inspection was carried out by two inspectors on the first day and one inspector on the second day.

Service and service type

Anville Court Care 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. Anville Court Care Home 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 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 registered manager in post.

Notice of inspection

The inspection was unannounced. Inspection activity started on 12 September 2022 and ended on 4 October 2022. We visited the service on 13 and 21 September 2022.

What we did before inspection

We reviewed information we had received about the service since the provider's 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 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 took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with seven people that used the service and six family members of people who used the service. We also spoke with 12 members of staff including the nominated individual, registered manager, deputy manager, nurses, care assistants, activity workers and domestic staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We observed staff providing support to people in the communal areas of the service. We reviewed a range of records. This included four people's care records and medicines administration records. Quality monitoring systems and a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 8 December 2022

Anville Court Care Home is a nursing home providing personal and nursing care to up to 50 people. At the time of the inspection 43 people were using the service. The service provides support to people over 65 including those with physical disabilities and people living with dementia.

The home is a purpose-built building and accommodation is provided over 2 floors both of which have adapted facilities.

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

Management of safety at the home was inconsistent and improvements were required to ensure people’s safety.

Governance systems needed improvement to ensure the provider was able to identify and make improvements to the service where appropriate

People could not be assured that information about them when held by the provider would be secure as a record of a complaint had been deleted from the providers system before it had been dealt with.

People’s care plans did not always contain clear guidance for staff and required improvement to ensure people received the support they required.

Staff managed people's medicines safely, in line with national guidance. People were supported by staff who had been assessed as safe to work with vulnerable adults. People were kept safe from the risk of infection and COVID-19.

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 manager and staff were clear about their responsibilities. The service worked in partnership with a variety of community professionals to ensure people received any specialist support they needed.

Management sought people's views about the service and acted upon them.

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 19 May 2018).

Why we inspected

The inspection was prompted in part due to concerns received about the care and welfare of people living at the home As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 changed from good to requires improvement. This is based on the findings at this inspection.

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.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to the provider's governance and oversight of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.