Background to this inspection
Updated
3 December 2019
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.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Atlantis is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 also operated a domiciliary care agency. It provides personal care to people living in their own homes.
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.
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all of this information to plan our inspection.
During the inspection
We spoke with ten people who used the service, two visitors, six staff members, the operational manager, the registered manager and the deputy manager. We reviewed the care records of four people and medication records of four people, records of accidents, incidents, compliments and complaints. We reviewed staff recruitment, training and support information as well as audits and quality assurance reports. 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.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We contacted two professionals and received one response. We spoke with a person using the DCA and two agency staff members for further feedback on the service and heard from two of the professionals and none of the staff
Updated
3 December 2019
About the service
Atlantis Care Home is a residential care home providing personal and nursing care to 19 older people at the time of the inspection. The service can support up to 20 people who may need support with their physical and mental health and may be living with a dementia. Atlantis Care Home is also registered to provide personal care, in the form of a domiciliary care service, to people in their own homes. On the day of the inspection 4 people were being supported in their own homes by the domiciliary care service [DCA]. Atlantis care home is an adapted building in a rural area.
People’s experience of using this service and what we found
People lived in an open, friendly, family atmosphere where they felt safe and well cared for. People had good relationships with staff and other people living at Atlantis Care Home. During the inspection we saw people engaging happily with laughter and good-humoured banter. People told us they received the support they needed in their own homes.
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. Some people had a high level of dependence and staff supported them to make choices about their care and support, what they did each day and how they spent their time.
People received care and support from staff who knew them well. Staff were trained and competent in their roles and monitored people's health and wellbeing. When needed, referrals were made to other healthcare professionals. Staff responded to advice given to ensure people received the care they required. Health professionals told us the managers and staff were responsive when people’s health needs changed. People using the domiciliary care service [DCA] told us they were confident with the staff who visited them in their own homes.
People told us they received a good service and felt safe. Accidents and incidents were recorded, and risk assessments were in place. Arrangements were in place for the safe administration of medicines.
People could choose what to eat and drink and were supported to eat in a pleasant sociable environment. People living in their own homes were supported with meals by staff who understood their nutritional needs.
People's communication needs were being met and complaints were acted upon.
People were happy with the way the home was managed. There was a positive and inclusive culture within the service and the registered manager supported the staff and sought to improve the quality of care. The registered manager regularly sought and acted upon people's views of the care they received.
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 25 April 2017) .
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.