18 July 2023
During an inspection looking at part of the service
Ablegrange Severn Heights Limited is a care home providing personal and nursing care to up to 48 people. The service provides support to older people who may live with dementia or physical disabilities. At the time of our inspection there were 16 people using the service.
People’s experience of using this service and what we found
Some improvements identified at our last inspection had been made, however further improvements were needed. People’s medicines were not always managed and administered safely and as prescribed. Environmental risks had not always been identified and addressed to ensure people’s safety. The provider’s audit and oversight systems to monitor the safety and quality of the service required further development.
Staff were recruited safely, and enough staff were employed to meet people’s needs. Staff understood and followed infection control measures, and when things went wrong, the provider had learned lessons and developed improved systems.
A positive person-centred culture was promoted, and the manager promoted learning and development. The manager and staff were caring and respectful of people which ensured a person-centred approach to the people living in the home. People’s views were sought with equality, privacy and dignity promoted.
People were supported to have maximum choice and control of their lives and staff supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
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 this service was requires improvement (published 02 February 2023).
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 some improvements had been made, however the provider remained in breach of regulations.
Why we inspected
We received concerns in relation to health monitoring. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led sections of this report. You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ablegrange Severn Heights on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to management of medicines, risks to people and oversight of service delivery at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.