Background to this inspection
Updated
6 March 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 29 January 2021 and was unannounced.
Updated
6 March 2021
About the service
Ami Court is a residential care home providing personal and nursing care to 36 older people, some who were living with dementia at the time of the inspection. The service can support up to 38 people in a purpose built unit. Some people were living at the service for up to three weeks for assessment and rehabilitation.
People’s experience of using this service and what we found
People told us they felt safe living at the service, however, medicines were not always managed safely. Medicines that require specific storage, recording and administration had not always been administered following national guidance.
Potential risks to people’s health, welfare and safety had been assessed and there was guidance in place to mitigate risks. Accidents and incidents had been recorded, analysed and action taken to reduce the risk of them happening again.
Staff had been recruited safely and there were enough staff to meet people’s needs. Staff received training, supervision and appraisal to develop their skills and meet people’s needs. Staff monitored people’s health and referred them to healthcare professionals when their needs changed. Staff followed the guidance given to keep people as healthy as possible.
People were supported to eat a balanced diet. People had access to activities and were supported to stay as active as possible.
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.
Each person had a care plan containing details about their choices and preferences. People had been involved in developing the care plan and deciding their future care needs. People met with a member of the management team before they moved into the service to check staff would be able to meet their needs. People’s end of life wishes were recorded, staff supported people at the end of their lives.
People were treated with dignity and respect. People were supported and encouraged to express their views on the service. Complaints had been recorded and investigated following the provider’s policy. People were given information in a way they could understand.
Checks and audits had been completed on the quality of the service and action had been taken when shortfalls had been identified. The registered manager attended local forums to keep up to date with developments in adult social care to continuously develop the service.
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 14 December 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had been made and the provider was still in breach of part of one regulation.
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified a breach in relation to the management of medicines at this inspection.
Please see the action we have told the provider to take at the end of this report.
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.