Background to this inspection
Updated
28 January 2020
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 two inspectors.
Service and service type:
At the time of our visit, 45 people were living at the service. People who lived at the home had varied needs associated with old age and frailty and some people were living with dementia. 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:
The inspection was unannounced.
What we did:
Before the inspection: We reviewed information available to us about this service. We checked the information that we held about the service and the service provider. This included previous inspection reports and statutory notifications sent to us by the provider about incidents and events that had occurred at the service. A notification is information about important events, which the service is required to send to us by law.
Due to technical problems, the provider was not asked to complete a Provider Information Return by CQC. 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 used all this information to plan our inspection.
During the inspection
We spoke with three people and a visiting relative. As some people living at Iden Manor were living with dementia, 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.
We spoke with eleven members of staff, including the registered manager, care staff, nursing staff, managerial staff, a maintenance person and an activities coordinator.
We reviewed a range of records such as care plans, medication records and daily notes. We looked at staff records in relation to recruitment and training. A variety of records relating to the management of the service, including audits, policies and procedures were reviewed.
After the inspection
We received feedback from a relative by email, we spoke to another relative by phone and received feedback from two GPs and a foot healthcare practitioner who gave us permission to quote them in this report. We also spoke with the registered manager by telephone.
Updated
28 January 2020
About the service:
Iden Manor provides accommodation, personal care and nursing care for up to 51 older people including people living with dementia. At the time of our visit 45 people were living at the service, 24 of whom lived with dementia.
Accommodation was provided over three floors in an adapted building. There were communal areas, including lounges, meeting rooms and dining rooms. A lower ground floor was purpose-built and accommodated 21 people living with dementia at the time of the inspection.
People told us they felt cared for by staff and relatives confirmed this. Staff were knowledgeable and experienced to deliver care including nursing. People were supported by staff to have maximum choice and to make decisions about their care. We observed positive interactions between staff and people. People were treated with respect. We observed people were happy and relaxed in the presence of staff. Medicines were managed safely and in accordance with current regulations and guidance.
People were protected from infection by staff that kept the premises clean and used appropriate protective equipment when needed.
Recruitment processes continued to be robust. Staff were knowledgeable and trained in safeguarding adults and what action they should take if they suspected abuse was taking place. Staff knew how to keep people safe in an emergency.
People took part in structured activities. People were supported to pursue their own hobbies and there was time for staff to spend one to one time with people. Visitors were made welcome and interactions between staff and visitors were warm and friendly. Family and friends were able to visit freely without restriction.
Care plans described people's needs and preferences and guided staff about people’s needs and how to meet them. People had enough to eat and drink and had choices in what they ate and drank. Staff accommodated any specific dietary requirements or preferences. Health and social care were accessible for people and appointments were made for regular check-ups.
People and relatives knew how to make a complaint and people felt confident that their feedback was listened to and acted upon. Staff told us they felt supported, records showed they had regular supervision and annual appraisals. The provider undertook quality assurance reviews to measure and monitor the standard of the service and drive improvement.
The overall rating for the service has remained Good. This is based on the findings at this inspection.
The service met the characteristics of Good in all key questions. More information is in the ‘Detailed Findings’ below.
Rating at the last inspection: The last rating for this service was Good (published 06 June 2017).
Why we inspected: This was a planned comprehensive inspection that was scheduled to take place in line with Care Quality Commission (CQC) scheduling guidelines for adult social care services.
Follow up: We will review the service in line with our methodology for ‘Good’ services. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk