Regency Retirement Home

Updated 15 February 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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Regency Retirement Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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. The registered manager of the service was due to retire. Two managers had been employed to complete a comprehensive handover period and become joint registered managers. At our last inspection we found the managers had taken increased responsibility in the last two years. They told us they still planned on submitting their application to become registered.

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. 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 spoke with the two managers, four people who use the service, and two staff.

We reviewed a range of records. This included four people's care records and multiple medication records. We looked at three staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including governance systems, policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at policies and procedures and quality assurance records. We gathered feedback from three professionals who visit the service, and three relatives.

Updated 15 February 2022

About the service

Regency Retirement Home is a residential care home providing personal care to up to 14 people. The service provides support to people aged 65 and over. At the time of our inspection there were 12 people using the service.

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

Staff were now recruited safely. Records confirmed that all required checks were made before new staff began working at the home.

Risks to people were assessed and managed safely and monitored routinely. Risks associated with legionella had been addressed and maintained to ensure the environment was safe for people.

People were protected from the risk of abuse, and the provider had systems and processes in place to safeguard people. People and relatives told us they felt safe and were positive about the staff who supported them.

Medicines were managed safely, and competency checks were completed to ensure staff were following safe medicine practices.

Staff followed infection control procedures to reduce the risks of infection. People and their relatives told us they felt the home had managed well through the pandemic.

The service was well-led by managers who were passionate about improving care and achieving the best possible outcomes for people. Since the last inspection, quality assurance systems to monitor the safety of the home through audits, had been strengthened. People, relatives, staff and professionals spoke positively about the leadership of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 7 June 2021) and there was a breach of regulations. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 26 April 2021. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve staff recruitment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Regency Retirement Home on our website at www.cqc.org.uk.

Follow up

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