Amberley Nursing Home

Updated 31 October 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 5 October 2018 and was unannounced. The inspection was completed by one inspector.

The provider had completed a Provider Information Return as part of the Provider Information Collection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also checked the information we held about the service and the provider. This included notifications the provider had sent to us about significant events at the service. We reviewed the quality monitoring report that the local authority had sent to us. All this information was used to formulate our inspection plan.

Amberley Nursing Home is set out on a large communal site which also includes supported living units. The home has been developed with a new build being connected to an older building, linked by a corridor. The care service was registered before the introduction of Registering the Right Support guidance. The home adheres to these values which include the choice and promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. The purpose build building is set in its own grounds. People can access the outside space which is secure. There were communal spaces for dinning and a large lounge.

Not everyone in the home could tell us about their experience of their life in the home, so we observed how the staff interacted with people in communal areas. We spoke with three people. We also spoke with three members of care staff, two nurses and the registered manager.

We looked at the care records for three people. We checked that the care they received matched the information in their records. We also looked at a range of information to consider how the home ensured the quality of the service was continuously reviewed, these included audits relating to accidents and incidents, infection control audits, complaints, compliments and surveys to reflect feedback.

Updated 31 October 2018

This inspection visit took place on 5 October 2018 and was unannounced. It was completed by one inspector.

Amberley Nursing Home is set on a large communal site which includes supported living units. This home was registered before the introduction of Registering the Right Support, however the service aims to adhere to the values set out as best practice. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection we rated the service ‘Good’. At this inspection we found the evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service continues to provide care which ensures people’s safety. Staff understood the importance of protecting people from harm and the measures to take to reduce the risk of infections. There was enough staff to support people’s need and the arrangements were flexible to accommodate appointment, activities and celebration moments. Medicine was managed safely and provided in line with guidance.

People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Choices were promoted in relation to the meals provided and when required specialist advice had been sought and followed. Health care was an important factor in maintaining people’s health and wellbeing. The home had been adapted to support people’s needs and their personal preferences were acknowledged to create a homely environment.

Staff had established positive relationships with people and knew them well. Care was individual and responsive showing a real regard for each person’s wellbeing and daily lifestyle. Dignity was maintained and people were responded to in a respectful manner.

People’s care was delivered in line with their agreed care plans which had been developed with the person and or those family members important to them. Activities and hobbies were encouraged and people were able to decide on how they wished to spend their day. There was a complaints policy, however since our last inspection there had been none raised. When people were nearing the end of their life, they received care which was compassionate and pain free.

The service was supported by a registered manager who understand the regulations and ensured we received notifications and information in relation to these. People’s views had been obtained through a questionnaire and more work was being developed in this area. The rating was displayed at the home and on the providers website.

A range of audits had been used in relation to care plans, health and safety and medicines management. Staff felt supported and enjoyed working for this provider. Partnerships had been established to support the needs of people’s making the links with health and social care professionals.

Further information is in the detailed findings below