Hallmark Anya Court Luxury Care Home

Updated 22 September 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection Team

The inspection team consisted of an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Anya Court is a care home. People in care homes receive accommodation and personal care. 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 (CQC). 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

The inspection took place on 23 August 2022 and 24 August 2022 and was unannounced on the first day. We told the registered manager we would return on the second day to complete our inspection.

What we did before inspection

We reviewed information we had received about the service since the last inspection. This included information received from the provider about deaths, accidents and incidents and safeguarding alerts which they are required to send to us by law. We also requested feedback from the Local Authority quality monitoring officers. We used all this information to plan our inspection.

We were unable to use information from the Provider Information Return, as we had failed to request this before our inspection visit. This is information we require providers to send us at least once a year to give some key information about the service, what the service does well and improvements they plan to make. We therefore asked additional questions of the registered manager during our visit, to ensure we gathered all the information we required.

During our inspection

We spoke with five people living at the home and five people’s relatives. Some people, due to their complex care needs and disabilities were unable to give us their feedback about the home. We spent time with people to see how staff supported them. We also spoke with eleven members of staff including the registered manager, the deputy manager, the head of dementia care, the regional manager, the nominated individual, members of the maintenance team, care workers and senior care workers.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records, including four people's care records and four people's medicines records. We also looked at records relating to the management of the service, including audits and governance systems. We reviewed the provider’s maintenance records; and records of when checks were made on the quality of care provided.

We looked at two personnel files to check that suitable recruitment procedures were in place, and that staff received supervision and appraisals to continue their professional development.

Updated 22 September 2022

Anya Court is a residential care home, providing personal care and accommodation for up to 70 older people. Some people who live at Anya Court have dementia or a cognitive impairment. The home is divided into three separate floors, the ground and second floor for residential accommodation, the middle floor for people living with dementia. There were 43 people living at Anya Court when we inspected the service.

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

Staff were trained in safeguarding and understood their responsibilities to report potential safeguarding concerns. There were enough staff to ensure people’s needs were met safely. We were assured by the provider’s infection, prevention and control practices. Visiting to the care home aligned with government guidance. Environmental risks were identified and mitigated against, and medicines were well managed.

New staff received an induction into the service and received ongoing training to keep their skills and knowledge up to date. The registered manager worked with trusted assessors to ensure any admissions from hospital or the community could be supported safely. Staff understood people’s individual dietary needs and prompted people to eat and drink enough to meet their needs. The provider had adapted the design and decoration of the building to meet people’s needs. 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. Partnership working enabled people to maintain their wellbeing.

Important events and incidents were notified to CQC, and the latest CQC rating was displayed in the home as per regulatory requirements. The provider worked with external health and social care professionals to ensure people had access to services they needed, in response to changes in their health and to improve their health outcomes. People knew how to raise concerns and provide feedback about the service. The management team worked together to identify areas for improvement at the home.

Rating at last inspection

The last comprehensive inspection report for Anya Court (published January 2020) and we gave a rating of requires improvement. At this inspection we found the service had improved and have rated the service as good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Why we inspected

This was a planned inspection based on the rating at the last inspection.

We undertook this focused inspection to check they had improved and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. 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 improved to good. This is based on the findings at this inspection.

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.