CQC report explained · a nursing home
What the CQC found at Adeline House Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, April 2023
Adeline House Care Home rated Good; inspectors found safe, kind and responsive care, with some records needing better detail.
This was an unannounced focused inspection on 21 March 2023. Inspectors spoke with people living at the home, relatives and staff. They reviewed care records, medicines records, staff recruitment files and management records.
The home was rated Good overall. Safe, responsive and well-led were rated Good. Inspectors found people were protected from harm, received their medicines as prescribed, and were supported by staff who knew them well. Care was described as person-centred, with activities and social support available.
Some improvements were needed in record keeping. Staff application forms did not always include full employment histories, some as-needed medicine instructions were not detailed enough, and some audits did not show what action had been taken. The management team dealt with some issues during or after the inspection.
This was a focused inspection because concerns had been received about staffing, person-centred care and leadership. The overall Good rating remained unchanged. Effective and Caring were not inspected, so their previous ratings were carried forward.
People felt safe
People told inspectors they felt safe. Staff had safeguarding training and understood what to do if someone was at risk of harm.
“People told us they felt safe living at the home.” from the report
Unhurried support
Inspectors saw staff respond promptly and support people without rushing them.
“During our inspection we found staff responded to people in a timely way and people were supported in an unhurried way.” from the report
Person-centred care
Care plans included personal histories, interests and preferences. Staff knew people well and supported their choices.
“Care plans were person centred and explained how people wanted their care to be delivered.” from the report
Activities and social contact
An activity co-ordinator provided a range of activities. Inspectors saw an inclusive atmosphere and individual support during activities.
“We observed activities taking place and found there was an inclusive atmosphere.” from the report
Open management
People and relatives found the management team approachable. Feedback was collected and used to develop the service.
“People we spoke with found the management team approachable and staff found they made time to listen to their comments about the service.” from the report
Incomplete employment histories
needs fixingApplication forms asked for only the last 10 years of employment, and some gaps were not recorded. Managers could explain the gaps and amended the form during the inspection.
“However, we found application forms only asked for last 10 years employment history, not their full employment and some gaps were not documented” from the report
As-needed medicine instructions
needs fixingSome instructions did not explain in enough detail how a person might show they needed an as-needed medicine. The management team addressed this straight away.
“However, protocols could be more detailed to explain how people may present when they required them.” from the report
Audit actions not always recorded
needs fixingThe home carried out quality audits, but some records did not show what action had been taken to fix identified issues. Managers said they would start documenting these actions.
“However, some audits did not evidence what action had been taken to resolve issues.” from the report
- 01How do you now make sure every staff application records a full employment history and explains any gaps?
- 02How do you record what action has been taken after an audit finds a problem?
- 03How are as-needed medicines explained in each person's care records, including the signs that the person may need them?
- 04How do you make sure night staff, including agency staff, know each resident's needs?
- 05What activities and support are available for someone who wants to go outside when there is not a regular activity available?
This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 26 April 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control and clean premises during a targeted COVID-19 review.
Inspectors visited the home on 16 February 2022. This was an announced, targeted inspection following COVID-19 outbreaks. They checked infection prevention and control measures and asked about staffing pressures.
Inspectors found the home clean and well maintained. They were assured that the home used PPE safely, supported testing, managed outbreaks and followed visiting, shielding and social distancing guidance.
The service was inspected but not rated. This was not a full assessment of the quality of care across all five areas, so the report does not give an overall Good or Inadequate rating.
Clean and maintained home
Inspectors found the home very clean and well maintained.
“The home was very clean and well maintained.” from the report
Infection control teamwork
Staff worked together to maintain infection control, and the provider acted quickly when audits found improvements were needed.
“Staff worked well as a team to ensure the home maintained good infection control.” from the report
Testing and outbreak response
There was a testing programme for people using the service and staff. The report says prompt action was taken when someone tested positive.
“Action was swiftly taken when anyone tested positive with COVID-19.” from the report
Visiting arrangements
Visits were supported under current guidance. Some relatives could act as essential care givers and people were supported to keep in contact with family.
“The provider was facilitating visits for people living in the home in accordance with the current guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staffing pressures affecting people's care and daily routines now?
- 02What testing arrangements are currently in place for people living in the home and staff?
- 03What happens if someone living in the home or a staff member tests positive for COVID-19?
- 04What infection control checks are visitors and professional visitors currently required to complete?
- 05How are visits and contact with family members being supported now?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 9 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Adeline House Care Home
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- April 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- January 2021Inspected but not ratedSafe: Inspected but not rated
- April 2019Goodup from Requires improvementSafe: GoodResponsive: Requires improvementWell-led: Good
- June 2018Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2017
Registered with the Care Quality Commission on 6 February 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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