Background to this inspection
Updated
20 November 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 was carried out by one inspector on 25 October 2019.
Service and service type
Annefield House 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 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
The provider was not asked to complete a provider information return (PIR) 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. Throughout the inspection we provided the service opportunities to give us feedback on what they did well and any improvements they had planned to make.
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. We used all this information to plan our inspection.
During the inspection
We spoke with seven people who used the service. We spoke with three members of staff including the deputy manager, support staff and the cook.
We observed medicine administration to people. We reviewed a range of records. This included three people's care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the registered manager as she was unavailable on the day of the inspection. This helped to validate evidence found. We looked at training data and quality assurance records.
Updated
20 November 2019
About the service
Annefield House Limited is registered to provide residential care and support for 17 people with mental health needs. At the time of our inspection there were 16 people using the service. The service is located within a residential area of Derby and provides accommodation over three floors.
People's experience of using this service and what we found
Some areas of the home required improvements to the environment. There were worn carpets on the stairs leading to people’s bedrooms and some furniture required replacing. We have made a recommendation that these issues form part of their refurbishment programme.
People felt safe using the service and staff had a good understanding of how to identify and report any concerns. People living at the service had varying degrees of capacity. 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.
Risks were fully assessed using recognised tools and management plans provided clear guidance to staff on how to minimise the risk.
People were supported by enough staff who were well trained, kind and caring and knew people well.
People received their medicines as prescribed by trained and competent staff.
Staff worked well as a team and worked well with other professionals. Professionals were positive about their experience of working with the home.
People were supported by staff who routinely promoted privacy and dignity. Staff had a good understanding of people, their likes and dislikes.
There were varied activities in place tailored to people's needs. People were encouraged to be involved in the choice and delivery of activities as much as possible. People were encouraged to access the community independently. Some people needed support and encouragement from staff to undertake daily living skills such as cleaning their bedrooms and assisting with their personal washing.
People and staff were positive about the management. There was an open culture focussed on continual learning and improvement.
There were robust systems in place for auditing and reviewing the quality of care. The registered manager did a daily walk around the home to check on repairs, cleanliness and any refurbishment required. After the inspection the registered manager sent up a refurbishment plan with dates for completion. This included areas identified in this report.
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 13 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Annefield House on our website at www.cqc.org.uk.
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.