25 August 2022
During an inspection looking at part of the service
Arboretum Nursing Home is a care home providing personal and nursing care to up to 54 people. The service provides support to younger adults and older people who have dementia, sensory impairment and physical disabilities. At the time of our inspection there were 46 people using the service.
People’s experience of using this service and what we found
Improvements were required in relation to the recording and responding to people’s concerns and how the provider used information from people and their relatives to drive improvements. Furthermore, improvements were required in relation to communicating in timely manner with health and social care professionals linked to the service.
Risks to people's health and well-being had been assessed and monitored to ensure they were kept safe. The provider had safeguarding systems and processes in place to keep people safe. Staff knew about the risks to people and followed the assessments to ensure they met people's needs.
People felt safe and were supported by staff who knew how to protect them from avoidable harm. Staff were recruited safely and there were enough staff to meet people's needs. People lived in an environment that was clean and well maintained.
Staff observed and followed infection control procedures in line with national guidance for reducing the spread of Covid-19. Staff followed the infection control procedures the provider had in place.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way and in their best interests: the policies and systems in the service supported this practice. People's individual communication needs were considered to support them to be involved in their care.
Audits took place to ensure the quality of the service was maintained.
People were assessed before they used the service to ensure their needs and preferences could be met.
Staff spoke positively about working for the provider. They felt well supported and that they could talk to the management team at any time, feeling confident any concerns would be acted on promptly. They felt valued and happy in their role.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for the service under the previous provider was requires improvement, (published on 16 November 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part due to concerns received about care delivery. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of Safe, Effective and Well Led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.