Aden View Care Home

Aden View is a residential care home providing personal care to up to 46 people. The service provides support to older people, some of whom may be living with dementia. At the time of our inspection there were 42 people using the service.

People’s experience of the service and what we found:

People were safe because systems were in place to make sure risks to people were assessed and actions taken to mitigate the risk. Medicines were managed safely.

Staffing rotas showed there were enough staff to keep people safe although some people felt there were occasions when more staff were needed.

We have made a recommendation that the provider monitors staffing levels to make sure people feel confident, at all times, there are enough staff to meet their needs in a timely way.

Staff received good support from the management team and followed a training programme that supported them in carrying out their roles.

People were protected from the spread of infection because systems and processes were in place. People spoke positively about the staff who cared for them.

People were involved in their care and we saw staff to be caring and attentive. People benefitted from staff working effectively with health and social care professionals.

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.

Auditing had been used effectively to identify and address issues.

Complaints about the service were managed well but documentation needed to reflect, in more detail, the actions taken in relation to responding to the complainant.

People, their relatives and staff felt involved in the service and there were systems in place to promote this involvement.

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 26 November 2019.

Why we inspected

The inspection was prompted by the date of the last inspection.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘All inspection reports and timeline’ link for Aden View 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.

Aden View Care Home is a residential care home providing personal care to 44 people aged 65 and over at the time of the inspection. The service can support up to 46 people.

The care home is a purpose-built building offering accommodation over two floors accessed by a passenger lift. All bedrooms have en-suite facilities. One floor is designated for people living with dementia. There are communal lounges, dining rooms and bathrooms. Outside there is an easily accessible garden.

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

People were not always kept safe. Staff did not always ask to see professional’s identity badges before allowing access into the home.

People and their relatives were positive about the service and the care provided. A person told us, “It’s nice here. There’s nothing I’d change.” A relative said, “I am happy with everything.”

There were suitable and sufficient numbers of qualified staff to support people in line with their assessed needs. People told us they thought the food was good, however, we found improvements were required in the dining experience.

People were supported by staff who were kind and caring. Staff promoted independence and ensured people spent time with and enjoyed time with people who were important to them. People felt comfortable with staff and formed positive relationships. Staff were aware of people's privacy and dignity and made sure this was respected. People were listened to and had their choices responded to.

A new manager joined the home in June 2019 and had established an open and honest culture where staff and people felt able to share their views, and where incidents, safeguarding concerns and complaints were dealt with proactively. The manager had already recognised some areas we identified during the inspection as requiring improvement. The manager had a plan in place and was working to improve the service. Staff told us they felt valued in their roles under the new management.

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.

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 requires improvement (published 26 October 2018).

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 re-inspection programme. If we receive any concerning information we may inspect sooner.

Aden View is registered to provide accommodation and personal care for up to 46 people. There were 43 people living at the home on the day of our inspection. Aden View Care Home is a purpose-built building offering accommodation over two floors accessed by a passenger lift. All bedrooms have ensuite facilities. One floor is designated for people living with dementia. There are three communal lounges, dining rooms and bathrooms. Outside there is an easily accessible garden.

Aden View Care Home 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 home had a registered manager who was available throughout our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered provider’s monthly quality reports showed effective oversight of the premises. The registered manager had systems to monitor quality throughout the home however this was not always achieved. Accidents and incidents were monitored. Fire safety and building maintenance were well managed.

Some feedback had been sought to engage people, relatives and staff in the running of the service. Information from this was used to develop the service.

People and their relatives told us they felt safe living at Aden View Care Home. Staff confirmed they had received safeguarding training and were able to describe how to identify and report any suspected abuse or incidents.

Standardised risk assessments were used in care plans so risks to people’s health and safety could be effectively tracked and monitored.

People’s dependency was monitored regularly however staffing levels did not always support people’s needs. Recruitment processes ensured staff were employed who were suitable to work in a care home setting however induction records were not in evidence.

Medicines were administered safely and with due consideration to national guidance.

Staff were appropriately trained and knowledgeable about infection control procedures.

The registered manager had systems in place for monitoring accidents and incidents and ensuring learning from these was implemented and understood through regular staff meetings and supervisions.

Care plans contained some information about people’s history, their preferences in relation to physical needs and some information about their social and leisure activities. Some consideration had been given to people’s consent and their capacity to do so for a range of care and support needs. The registered provider was operating within the principles of the Mental Capacity Act 2005 and applications to lawfully deprive people of their liberty (DoLS) had been appropriately submitted to the local authority.

Training completion levels were generally good. The number of staff trained on fire safety was low. Staff supervisions were planned and taking place regularly. Communication between the registered provider, the registered manager and staff was good.

People were provided with a choice of food and drinks and some snacks were available at certain times during the day. People were not always supported to access this.

People were supported to receive access to healthcare which was demonstrated and recorded in care plans.

Dementia friendly signage was in evidence throughout the home. People’s bedrooms were personalised.

Staff were aware of the need to ensure people’s dignity and respect their privacy however this did not always take place. Staff were aware to support people’s independence wherever possible however this did not always take place.

You can see what action we told the provider to take at the back of the full version of the report. Full information about CQC's regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.

Aden View Care Home is registered to provide personal care and accommodation for up to 46 older people. The accommodation is provided over two floors, the first floor being accessed by a passenger lift. All bedrooms have en-suite facilities. There are a number of communal areas and dining rooms. There is a unit called Primrose for people living with dementia and other cognitive impairment. At the time of the inspection there were 43 people living at the home.

There was a registered manager in post and this person had been registered with the Care Quality Commission since March 2016. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe living at Aden View. The registered manager and staff were aware of relevant procedures to help keep people safe and staff could describe signs that may indicate someone was at risk of abuse or harm. Staff had received safeguarding training.

Staff were recruited safely and there were sufficient numbers of staff deployed to meet people’s needs. Staff told us they felt supported and we saw evidence staff had received appropriate induction, training and ongoing support.

Risks to people had been assessed and measures put into place to reduce risk. The building was well maintained and regular safety checks took place.

Medicines were managed, stored and administered safely and appropriately, by staff who had been trained to do so.

People were supported to have choice and control of their lives and we observed staff supported people in the least restrictive way possible; however, the principles of the Mental Capacity Act 2005 were not always followed.

We observed staff to be kind and supportive and people told us staff were caring. We observed people’s privacy and dignity was respected. There was a pleasant, relaxed atmosphere in the home.

Care records were person centred and reviewed regularly. A ‘resident of the day’ system helped to ensure people were regularly involved in reviewing their care and support at Aden View. People told us they could make their own choices in relation to their daily lives. Appropriate information was shared between staff to enable continuity of care.

Staff told us they felt supported by the registered manager and people and their relatives spoke positively about the registered manager. Meetings such as staff meetings and residents’ and relatives’ meetings were held regularly. The compliance review undertaken by the registered provider’s internal team highlighted the need to improve Mental Capacity Act 2005 associated work. The registered provider had developed an action plan to address this work, which was ongoing at the time of the inspection.

You can see what action we told the provider to take at the back of the full version of the report.

The service was last inspected 7 May 2013 and was compliant in the areas we inspected.

Aden View Care Home is registered to provide personal care and accommodation for up to 46 older people. The accommodation is on two floors, the first floor being accessed by a passenger lift. All bedrooms have en suite facilities. There are a number of communal areas and dining rooms. At the time of the inspection there were 38 people using the service. There was a unit called Primrose for people living with dementia and other memory problems.

The registered manager had applied to be de-registered as a manger in January 2016 and the current manager was in the process of applying for their registration. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service felt safe living there and felt staff had the skills and knowledge to carry out their role. Staff we spoke with had a good understanding of their role in relation to ensuring people were kept safe from harm. Risk assessments centred on the needs of the individual and were reviewed monthly.

Training for staff was up to date and they had a good understating of their role in relation to the Mental Capacity Act 2008 (MCA)and Deprivation of Liberty Safeguards (DoLS). The manager was aware of their role in protecting people’s human rights and had made appropriate applications for a DoLS.

There was a choice of activities, both shared and individual available for people to take part in. Activities were organised by the activity coordinator.

Care records were person centred and focussed on the needs of the individual, however these were not always written by the staff who had provided people with their support.

People were offered a variety of food and drinks through the day but at lunchtime we observed there was not enough staff to support people eat their meal.

We observed interaction between staff and people who used the service was respectful and people felt the staff were very caring in their attitude toward them.

The manager had an auditing system in place. However, this had not been effective in identifying issues and concerns with the way information was recorded in people’s daily records, on the medicine administration records and on accident forms.

The manager was passionate about their role. Staff and people who used the service spoke highly of the manager.

We found one breach of the Health and Social Care Act 2008 (regulated activities) Regulations 2014.

You can see what action we told the provider to take at the back of the full version of the report.

At the time of our visit there were 39 people living at the home; 20 people living on the ground floor of the building and 19 people living on the first floor.

Because some of the people living in the home had dementia, not everyone was able to tell us their views on how they were cared for. However, we observed people looked well cared for and were seen to have good relationships with the staff.

People also told us they were happy living at the home and they were well looked after.

Staff told us that although they were busy, there was sufficient staff on duty to meet people's needs. We observed the staff offered support to people in a sensitive and unhurried manner.