What the CQC found at Aaron Court

Inspectors found enough staff to meet people's needs. Agency staff were usually booked for longer periods and knew the people they supported.

“People told us that there were enough staff and that staff attended quickly if their emergency buzzer was pressed.” from the report

People, relatives and staff spoke positively about the culture of care. Inspectors observed staff supporting people in a caring way.

“They don't embarrass people. They treat them with humanity. They don't tell them off.” from the report

Visiting health and social care professionals said communication was good. Staff recognised when to seek outside help and acted on advice.

“They explained that care staff were aware of when to call for external health support and acted on any advice given.” from the report

The new electronic system helped management see when people might not have had enough food, drink or other support. This allowed staff to follow up concerns.

“The implementation of the electronic system was still at an early stage.” from the report

The previous recruitment breach had been addressed. Inspectors found appropriate checks had been completed before the staff reviewed started work.

“Staff were safely recruited.” from the report

Records did not always show that pain patches had been checked. Used needles were carried through the home, and guidance was unclear about when to recheck blood sugar after glucose was given.

“This poor management of medicines, placed people at risk of harm.” from the report

Some care plans contained contradictory health information or missed important details about wounds and mental health needs. This could make it harder for new staff or visiting professionals to provide safe care.

“Care plans did not always provide good quality guidance on people's physical health needs.” from the report

The home did not always complete mental capacity assessments before making decisions or placing restrictions on people. Records supporting covert medicines were also incomplete.

“Effective systems were not in place, to ensure all people had their mental capacity assessed before staff began making decisions for them.” from the report

Some incidents involving staff and residents were not recorded, and care plans were not updated. This could affect how lessons were learned and how future risks were managed.

“Accident and incident reports were not consistently completed by staff.” from the report

Some staff wore masks below their nose or chin. Kitchenettes still needed improvement, including food date records and bin condition.

“We observed several staff wearing masks below their nose or chin.” from the report

Management audits had not reliably found or fixed repeated problems with care plans, medicine records, mask use and kitchenette cleanliness.

“The provider's governance systems had failed to bring the service to a good quality standard.” from the report