26 May 2021
During an inspection looking at part of the service
Aran Court 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 home is registered to provide accommodation and nursing care for up to 86 older people. There were 54 people living in the home at the time of our inspection visit.
People’s experience of using this service and what we found
We found a number of issues identified with the management of sharps. Several sharp containers were not signed for when brought into use and not disposed of within a timely manner.
We found in one of the medicine rooms, the stock medication was not appropriately stored in a locked cabinet. There was a suitable lock attached to the doors however this was not being used and the doors were held closed by a rubber band.
We found care records reviewed did not always have relevant information in order to confirm when changes occurred to people’s health conditions. We found reviews of care were not being undertaken with people or relatives. In addition, we found some people's care records did not consistently demonstrate that risk assessments were being followed.
The provider had safeguarding systems and processes in place to keep people safe. Staff knew the risks to people and followed the assessments to ensure they met people's needs. People felt safe and were supported by staff who knew how to protect them from avoidable harm.
Staff were recruited safely and there were enough staff to meet people's needs. Staff followed the infection control procedures the provider had in place.
Risks to people's health and well-being had been assessed and monitored to ensure they were kept safe. People received their medication as prescribed.
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.
Staff spoke positively about working for the provider. They felt well supported and that they could talk to the management team at any time, feeling confident any concerns would be acted on promptly. They felt valued and happy in their role.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
At the last inspection we rated Aran Court as 'Requires Improvement' (report published 13 June 2019). At this inspection the overall rating has remained as 'Requires Improvement.'
Why we inspected
We received concerns in relation the management of safeguarding incidents. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of Safe and Well-Led only. We found no evidence during this inspection that people were at risk of harm from this concern.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. Please see the Safe and Well-Led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Aran Court on our website at www.cqc.org.uk.
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.