Amberwood Care Home Limited is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The care home accommodates up to 44 people in one adapted building. On the day of our visit, there were 44 people using the service.The service had three registered managers. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
This inspection took place on 1 and 2 February 2018 and was unannounced.
This was the second comprehensive inspection carried out at Amberwood Care Home Limited. The last inspection was carried out in November 2015 and the service was rated as Good. At this inspection we found areas that required improvement.
The provider did not have sufficient systems in place to assess, monitor and evaluate the quality and safety of people using the service. This had impacted on the levels of staff, response to people’s feedback, health and safety and medicines management.
The provider had not ensured that people were always protected from health and safety risks associated with accessing areas such as the kitchen and laundry.
The provider had not always deployed enough staff to meet people’s needs. Staff did not always follow systems to manage medicines in a safe way.
Staff understood their roles and responsibilities to safeguard people from the risk of harm. Risk assessments were in place but these were not always reviewed regularly; people received their care as planned to mitigate their assessed risks.
Safe recruitment processes were in place. People received care from staff that had received training and support to carry out their roles. People were supported to have enough to eat and drink to maintain their health and well-being.
People were supported to access relevant health and social care professionals.
Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA). Staff gained people's consent before providing personal care. People were involved in the planning of their care which was person centred and updated regularly.
People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. People had developed positive relationships with staff. Staff had a good understanding of people's needs and preferences.
We made recommendations that the provider implemented a system to record all complaints and systems to capture people’s wishes and preferences they want at end of life.
At this inspection we found that Amberwood Care Home Limited were in breach of three regulations relating to the health and safety, staffing and governance, as the provider did not have sufficient systems and processes in place to ensure the quality and safety of the service.
You can see what action we told the provider to take at the back of the full version of the report.