Background to this inspection
Updated
13 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
This inspection was completed by one inspector.
Service and service type
Anglebury Court 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. Tricuro (the provider) is owned by the Local Authority (BCP & DCC).
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 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. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We walked around the home and observed care practice and interactions between support staff and people. We met with five people who used the service and two relatives. We spoke with the registered manager, a senior carer, the chef, a housekeeper and two support workers.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including health and safety and quality audits.
Updated
13 December 2019
About the service
Anglebury Court is registered to provide accommodation and personal care for up to 32 older people. At the time of the inspection there were 30 people living at the home. The home was divided into four distinct areas, each had its own kitchen, dining room / lounge area. The home has a designated ‘memory lane’ area, which had items to promote reminiscence.
People’s experience of using this service and what we found
The service had improved the arrangements for managing medicines safely. We saw medicines were managed and administered safely by trained staff.
Staff were deployed more effectively than at the last inspection. An additional three members of staff were rostered at busy times of the day to help people during meal times, activities and peoples’ evening routines. There were sufficient numbers of trained, experienced staff to meet people’s needs.
People told us they were happy and felt safe. Relatives said that staff had a good understanding of their loved one’s needs and preferences. Risks had been identified and measures put in place to keep people safe from harm.
People, professionals and their families described the staff as being friendly, cheerful, helpful and caring. The atmosphere of the home was relaxed and engaging.
Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice.
Care plans were personalised and updated in response to people’s changing needs. Staff listened to what people wanted and acted quickly to support them.
The service supported people to access healthcare services and were encouraged to be involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people.
Safe recruitment practices were followed, and appropriate checks completed to ensure that only suitable staff were employed. Staff received induction and on-going training and support that enabled them to carry out their roles positively and effectively.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People, and where appropriate their relatives, were involved in decisions about their care.
Leadership was visible and promoted good teamwork. People, professionals and staff spoke highly about the management and staff had a clear understanding of their roles and responsibilities. The registered manager and staff team worked together in a positive way to support people to achieve their own goals and to be safe.
Checks of safety and quality were made to ensure people were protected. Work to continuously improve the service was ongoing and the registered manager was keen to make changes that would impact positively on people's lives.
Governance systems and oversight of the service ensured any issues were identified, and actions taken to address any shortfalls.
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 29 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 re-inspection programme. If we receive any concerning information we may inspect sooner.