Ivydene Residential and Nursing Home

Updated 20 April 2023

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 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

The inspection was carried out by 1 inspector, 1 medicines inspector, an assistant inspector, a specialist advisor who was a nurse and an Expert by Experience. 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

Ivydene 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. Ivydene 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 newly registered manager in post.

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. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, deputy manager and 5 staff. We also spoke with 9 people who used the service and 3 relatives. To help us assess and understand how people’s care needs were being met we reviewed care records. This included medicine records and a variety of records relating to the management and governance of the service, which included recruitment and training records. We observed how people were being cared for and looked around the service observing infection prevention control practices.

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 requested additional information and continued to seek clarification from the provider to validate the evidence we found. We also contacted 3 external health care professionals for feedback.

Updated 20 April 2023

About the service

Ivydene Residential and Nursing Home (hereafter called Ivydene) is a care home for up to 57 older people. The service provides care and support to people with varying and at times complex care needs, including people with nursing needs and those who were living with dementia.

The service is purpose built to provide 3 care units, one for nursing care, one for residential care and one for people living with dementia. Care is provided over 2 floors and a passenger lift provides access to the first floor. At the time of the inspection 41 people were living at the service.

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

People were protected from the risk of abuse as staff were aware of their safeguarding responsibilities. Risks to people had been identified and assessed. Processes were in place to ensure people received their medicines as prescribed. Staff followed infection control guidance and had access to Personal Protective Equipment (PPE).

There were sufficient numbers of staff to meet people’s needs and robust recruitment and selection processes were in place to ensure staff were suitable to work with people. People’s nutritional and hydration needs were met including any risks associated with food and fluids.

During our observations we saw staff being kind and caring in their approach. People’s privacy, dignity and independence were promoted. 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.

People and their relatives were asked for their views about the quality of the care delivered at the service through surveys and meetings. People had access to healthcare services when required to meet their needs.

The service had a newly registered manager whose focus was on improving the quality of care and service along with developing staff knowledge and skills. Regular audits were completed by the management team to check the safety and quality of the service delivered. This included competency checks of staff practice.

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 1 December 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

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