Ivydene Residential Home

Updated 22 February 2020

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

The inspection was carried out by an inspector, a medicines inspector and an assistant inspector.

Service and service type

Ivydene Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service about their experience of the care provided. We spoke with five members of staff including the deputy manager, a senior support worker and support workers.

We reviewed a range of records. This included four people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies, procedures, risk assessment and maintenance records were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records as well as further evidence submitted by the service within specified timescales. We spoke with an additional staff member and three relatives. The registered manager was absent from the service at the time of the site visit but we spoke with them subsequently.

Updated 22 February 2020

About the service

Ivydene Residential Home is a residential care home providing personal care to 17 people with mental health needs; it was full at the time of our inspection. Accommodation is over two floors with several communal areas and people had access to gardens.

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

The service had made improvements since our last inspection and were no longer in breach of regulations however we have made two recommendations to continue to drive improvements. These are about risk management and MCA. A registered manager had been employed in April 2019 and had introduced systems to drive improvement. Whilst these had been mostly successful, further development was required regarding ensuring accurate and complete records were maintained. In addition, more regular analysis of the quality of the service was required to be assured any issues would be quickly identified and rectified.

People received individualised care and support that had positively impacted on their lives. Their relatives agreed with one telling us, “We could hardly get anything out of [family member], now they’re engaged.” The stable staff team knew people especially well and supported them with discretion, sensitivity and compassion. People felt involved and listened to. Independent living skills were encouraged, and the service used advocates as required to assist with this.

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’s nutritional and healthcare needs were met in collaboration with other health professionals and their medicines were administered safely. Risks were managed and mitigated although not always recorded. Processes were in place to help reduce the risk of abuse.

People benefitted from receiving care and support from staff who had been trained and felt supported. There was a positive culture within the service and staff demonstrated good team working abilities. People engaged with each other and the staff and relatives told us the home was consistently welcoming. One relative said, “It feels like a family home.” People were supported in their relationships and interests.

Communication was effective and no one we spoke with had any concerns about the service. A complaints policy was in place should people wish to raise concerns. However, the open and transparent culture within the home ensured people felt comfortable in raising issues or worries. Feedback on the service was sought and listened to and people felt involved in not only their care but changes within the home.

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 (report published 6 March 2019) 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 we found improvements had been made and the provider was no longer in breach of regulations.

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.