Arranmore Park Rest Home

Updated 30 March 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.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. 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

One inspector, one pharmacist inspector and one Expert by Experience undertook the inspection. 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

Arranmore Park Rest Home is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Arranmore Park 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.

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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Prior to the inspection we looked at the information we held about the service. This included feedback and statutory notifications which the provider is required to send to us by law. We also asked for feedback from professionals about their experiences of 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. We checked whether an enter and view inspection had been undertaken by Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service, and one visiting relative as well as a further three relatives on the telephone with permission. We also received feedback from two visiting professionals on the day of the inspection and a further three professionals via email and on the telephone. We spoke with seven staff members. These included, four care staff, two senior carers and the registered manager. We undertook a tour of the building as well as undertaking observations in the communal areas. We looked at a number of records. These included four care files and associated documents, staff files, training records and records relating to the operation and oversight of the service. We also reviewed eight medicine administration records and looked at medicines related documentation and we checked medicines storage.

After the inspection

We continued to receive information from the registered manager to support the inspection after the site visit.

Updated 30 March 2022

About the service

Arranmore Park Rest Home is a residential care home providing accommodation and personal care for up to 35 older people, including people with a physical disability, sensory impairment, younger adults or people living with a dementia, in one adapted building. At the time of the inspection 33 people were living at the service.

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

The service had addressed the medicines issues from the last inspection, with work ongoing due to a new provider now being in place. We found medicines were managed safely across the service, although recommendations have been made to include more person-centred information in records.

Whilst risk assessments, accident and incident records had been completed, they required more details in relation to the findings, actions taken and the lessons learned to support people and reduce risks going forward.

People and relatives told us they felt safe in the service. Staff were recruited safely and people told us there was sufficient staff. Staff had received relevant training, support and supervisions.

The service was clean and tidy and ongoing refurbishment was taking place. The service was homely and bedrooms had been personalised with people’s possessions. Relevant professionals were involved in people’s care, who were positive about the care provided. Meals for people looked appetising and choices were available. People told us they enjoyed their meals. Records confirmed people had agreed to their care. 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.

All of the people we spoke with were positive about the care people received. People’s dignity and respect was considered and staff were observed promoting people’s privacy.

Care plans were in the process of being transferred onto an electronic system. Whilst care plans were in place they would have benefited from more detailed information about how to support people’s individual needs. Professionals told us about the care and support staff provided to people at the end of life. The communication needs of people were considered. People told us they would know who to go to if they had any concerns. People could not confirm activities were provided, however there was an activity plan on display.

Whilst audits and monitoring were ongoing, not all of these had been completed in full. We received very positive feedback about the registered manager and staff in the service. Questionnaires had been completed. The registered manager took immediate action to ensure retrospective notifications were submitted to the Care Quality Commission.

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

This service was registered with us on 22 July 2021. The last rating for the service under the previous provider was requires improvement, published on 6 May 2021.

Why we inspected

This was a planned 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. This included checking the provider was meeting COVID-19 vaccination requirements.

Recommendations

We have made recommendations in relation to the management of risks, ensuring accident and incidents are investigated and acted upon in a timely manner, and lessons learned are shared with the staff team. We also made a recommendation in relation to the operation and management of the service and ensuring care records contained detailed information about how to support people’s individual needs, as well as recommendations to ensure medicines records included more person centred information.

Follow up

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