Iffley Residential and Nursing Home

Updated 19 October 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 carried out by two inspectors, one assistant inspector and one 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

Iffley Residential and Nursing 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 service had a registered manager. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager was on annual leave at the time of our inspection.

Notice of inspection

This inspection was unannounced

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We used all of this information to plan our inspection.

During the inspection

We spoke with ten people who used the service and two relatives about their experience of the care provided. We spoke with 16 members of staff including the quality support managers, the deputy manager, one nurse, seven care staff, activities co-ordinator, the maintenance person, one housekeeper and the chef. We reviewed a range of records. This included nine people’s electronic care records and samples of medication records. We looked at three staff personnel files and viewed a variety of records relating to the management of the service, including accidents and complaints logs.

After the inspection

We contacted eight external health and social care professionals, including commissioners to gather their views about the service.

Updated 19 October 2019

About the service

Iffley Residential and Nursing Home is a service providing accommodation, personal and nursing care for people aged 65 and over including people living with dementia. It can accommodate up to 76 people across three separate floors. There were 72 people living at the service at the time of our inspection.

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

People remained safe at the service. People benefitted from staff that understood how to protect them from harm. Risks to people had been assessed and recorded. There were enough suitably trained and skilled staff to keep people safe. People received their medicine safely and as prescribed.

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 had support to access health care services if required. People were positive about the food and had their nutritional needs met.

People remained supported by staff that were caring, compassionate and respectful. Staff referred to the community at the home as a ‘family’. People and where appropriate relatives were involved in making decisions about the care people received. People's independence was promoted, and their confidentiality was protected. The team demonstrated commitment to celebrating people’s diverse needs.

People received care that met their needs. People had opportunities to take part in activities and outings of their choice. Staff explored people’s interests in order to create opportunities for people to continue pursuing their interests. People knew how to make a complaint and told us their concerns were acted upon promptly. Staff worked with professionals to ensure people received high quality end of life care.

The service remained well-led by an experienced registered manager who was supported by a team of committed staff. People and staff were listened to and able to provide their views in various ways. There were systems in place to monitor the quality of the service. The staff team worked well with a number of external local health and social professionals and promoted an open and transparent culture.

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 28 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.