CQC report explained · a residential care home
What the CQC found at Adelphi Residential 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, March 2021
Inspected but not rated; inspectors were assured that infection risks were being managed, with one visitor-check process corrected.
This was an announced, targeted inspection on 11 February 2021. It looked at infection prevention and control during the COVID-19 pandemic, rather than reviewing every part of the home.
Inspectors were assured that the home was using personal protective equipment safely, arranging testing, following shielding and distancing rules, and keeping the building clean. They also found enough staff and regular COVID-19 training and support.
There was one gap in the visitor process. Health and safety questionnaires were not being given to visiting healthcare professionals, but this was corrected during the inspection. The home was inspected but not rated, so this report does not give an overall quality rating.
PPE and hygiene
Staff, managers and visitors were using PPE correctly. The home also had arrangements for disposing of PPE and other waste.
“Staff, management and visitors were using personal protective equipment (PPE) correctly and there were procedures in place around the use of PPE.” from the report
Testing and outbreak planning
The home had testing arrangements for staff and residents. Its infection control policy and risk assessments had been updated during the pandemic.
“The provider and registered manager had processes to minimise the risk to people, staff and visitors from catching and spreading infection.” from the report
Safe visiting arrangements
Visiting rules were explained to residents and relatives. The home had changed part of its premises to provide a safer visiting area when visits were allowed.
“We saw alterations to the premises to facilitate a safe visiting area for people to meet their relatives and friends.” from the report
Staffing and training
Inspectors found enough staff to provide continuity and safeguards during staff shortages. Staff had COVID-19 training, regular refreshers and wellbeing support.
“There were sufficient staff to provide continuity of support and ensure safeguards were in place should there be a staff shortage.” from the report
Residents' wellbeing
Residents could use social media and mobile devices to contact relatives and friends. A programme of activities had also been introduced as restrictions eased.
“People's mental wellbeing had been promoted by use of social media and mobile devices so people could contact their relatives and friends.” from the report
Visitor health checks
minorMost visitors completed a short health and safety questionnaire, but visiting healthcare professionals were not included. The home corrected this during the inspection.
“Most visitors had to answer a short health and safety questionnaire but this was not raised with visiting health care professionals.” from the report
- 01Are visiting healthcare professionals still required to complete the same health and safety checks as other visitors?
- 02How often are staff and residents tested, and what happens if someone has a positive result?
- 03What visiting arrangements are currently in place, and how are relatives told about any changes?
- 04What activities are available now, and how are residents supported to keep in touch with relatives?
- 05How does the home manage new admissions and reduce the risk of infection?
This was an announced targeted inspection of infection prevention and control during the COVID-19 pandemic; the other five-question ratings were not assessed. This explanation was written from the published report of 5 March 2021 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, January 2020
Adelphi Residential Care Home was rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.
Inspectors visited on 4 and 5 December 2019. The visit was unannounced on the first day. They spoke with people living in the home, relatives, staff and health professionals. They reviewed care, medicine and staff records, toured the home and observed care and meals.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and described staff as kind, respectful and caring. Inspectors found that care plans reflected people's needs, staff worked well with health professionals, and people were supported to make choices and remain independent.
The home had improved from Requires Improvement at the previous inspection, published in December 2018. Earlier problems with premises, equipment, risk assessments and quality checks had been addressed. The home was no longer in breach of the regulations.
Improved safety
Risk assessments, maintenance and safety checks had improved since the previous inspection. Medicines records were completed correctly and staff had suitable training.
“People were protected by risk management plans which were detailed and kept up to date.” from the report
Personalised care
Care plans included people's preferences, interests and previous experiences. Staff reviewed plans and responded to changes in people's needs.
“Care records were very person centred and respectfully written.” from the report
Stronger management checks
The home had introduced regular audits and checks of care practice and records. Actions identified through these checks were completed in a timely way.
“The provider had a regular schedule for completing quality audits of care practice and care records.” from the report
Mixed views about activities
minorThe home offered activities and trips, but not everyone wanted to take part. Some people preferred to stay in their rooms, so families should ask how activities would suit their relative.
“There are activities but they are not for me.” from the report
- 01How would you adapt activities to match my relative's interests and abilities if they prefer to stay in their room?
- 02How often will my relative's care plan and risks be reviewed, and how will I be involved?
- 03How will you support my relative's dietary needs, including any modified diet or preferred food temperature and portion size?
- 04How will you keep me informed if my relative falls, is injured or needs medical treatment?
- 05Which health professionals would be involved if my relative's health or communication needs changed?
This was a planned inspection covering all five CQC questions, including the premises and care provided; the previous Requires Improvement issues were checked and found to have been addressed. This explanation was written from the published report of 1 January 2020 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 Adelphi Residential Care Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Adelphi Residential Care Home →
- January 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Adelphi Residential Care Home →
- December 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 24 December 2010.
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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85 live-in carers within about an hour of Lancashire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.