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What the CQC found at Albert House Residential Home

Goodpublished 28 November 2017, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Requires improvement
Inspectors were assured that infection risks were being managed. They found effective PPE use, suitable cleaning and ventilation, safe admissions, and arrangements for testing and vaccination.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, April 2021

Albert House Residential Home was inspected but not rated; inspectors found strong infection prevention and control arrangements during the pandemic.

The CQC carried out an announced, targeted inspection on 24 March 2021. It looked specifically at infection prevention and control in response to the coronavirus pandemic.

Inspectors found plentiful PPE, trained staff, safe PPE use and regular cleaning. The home had suitable arrangements for social distancing, visitors, admissions, testing and vaccination.

People were supported to stay in contact with relatives and friends. The home was calm and clean, but this inspection did not give an overall quality rating.

What inspectors praised
  • Infection control

    There were plentiful PPE supplies, staff had infection control training, and PPE was used and disposed of safely.

    “We were assured the provider was using PPE effectively and safely.” from the report
  • Clean and suitable environment

    The premises were clean and hygienic, with enhanced cleaning, good ventilation and space arranged to support social distancing.

    “The premises had a good level of cleanliness and was hygienic throughout.” from the report
  • Family contact

    People could stay in touch with relatives and friends, including through arrangements for designated visitors.

    “People were supported to stay in contact with their relatives and friends.” from the report
  • Preparedness

    The provider had up-to-date infection control policies, regular audits, a business contingency plan and pandemic-related risk assessments.

    “The provider's infection prevention and control policies and procedures were up to date and audits had been carried out on a regular basis.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have your infection prevention and control arrangements changed or been maintained since the inspection on 24 March 2021?
  2. 02How do you currently manage visitors and help residents stay in contact with relatives and friends?
  3. 03How do you make sure PPE is available, used correctly and disposed of safely?
  4. 04How do you manage admissions safely and monitor people's health and wellbeing?
  5. 05When were your infection control policies, audits and pandemic risk assessments last reviewed?

This was a targeted inspection of infection prevention and control, recorded under Safe; it did not provide an overall rating or assess the other areas of care. This explanation was written from the published report of 9 April 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.

An earlier report, explained

What inspectors found, November 2017

Albert House Residential Home was rated Good overall, but inspectors found that safety systems needed improvement after serious falls-related incidents.

Inspectors visited without notice on 03 November 2017. They spoke with people living at the home, relatives and staff. They reviewed care records, staff files, medicines records, audits and information about two serious incidents.

The home was rated Good overall. Effective, caring, responsive and well-led care were all rated Good. The safe rating was Requires Improvement because records after falls were not complete, one person at risk of choking was not always closely observed during meals, and there was no business contingency plan.

Inspectors found many positive features. People generally felt safe, staff were trained, medicines were managed safely, care was personalised and relatives were able to raise concerns. The home had started making changes, including recruiting another care worker and introducing new post-falls observation records.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff speaking to people calmly and supporting their dignity, privacy and independence.

    “We observed staff engaged with people in a caring and relaxed way.” from the report
  • Safe medicines practice

    Medicines were administered safely. Records were clear, audits were completed and controlled medicines were securely managed.

    “We saw staff administered medicines safely and followed best practice for the administration of medicines.” from the report
  • Personalised support

    Care records included people's needs, preferences and risks. People and relatives were involved in decisions about care where appropriate.

    “The care records had been developed where possible with each person and their family where appropriate, identifying what support they required.” from the report
  • Good management oversight

    The home used regular audits, meetings and surveys to monitor care and act on issues found.

    “The registered manager and provider had auditing systems to assess quality assurance and the maintenance of people's wellbeing.” from the report
  • Food and healthcare

    People were offered choices of meals and drinks, and staff supported access to healthcare professionals.

    “We observed regular snacks and drinks were provided between meals to ensure people received adequate nutrition and hydration.” from the report
What inspectors were concerned about
  • Incomplete checks after falls

    serious

    When professionals advised staff to observe people for 24 hours after a fall, records did not show when or how those observations had been made. The home said it would introduce new records, and later sent evidence that changes had been made.

    “However we found that where staff had been recommended to observe an individual following a fall, they had not kept records to demonstrate how they had monitored the person.” from the report
  • Monitoring during meals

    serious

    One person at risk of choking was sometimes seated alone during meals. Inspectors said this could increase the risk because observations were not robust.

    “However; we found one person who was at risk of choking had at times been sat alone in one area of the home during meal times.” from the report
  • Mixed views about staffing

    needs fixing

    Some people and relatives felt staffing levels were not always consistent. The home was recruiting an additional care worker in response to this feedback.

    “Before the inspection we had received concerns about insufficient staffing levels at the home.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to record and carry out observations after someone falls?
  2. 02How do you make sure people at risk of choking are observed closely throughout meals?
  3. 03Has the additional care worker been recruited, and how do you decide how many staff are needed each day?
  4. 04Has the business contingency plan been completed, including arrangements for emergency accommodation after an evacuation?
  5. 05How do your audits check that the improvements identified after the inspection are still being followed?

This was an unannounced comprehensive inspection covering all five key questions, prompted by two incidents with serious impact involving falls and related risk management. This explanation was written from the published report of 28 November 2017 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.

The story over the years

Every inspection of Albert House Residential Home

2 rated inspections over a year: the service has held its Good rating throughout.

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Albert House Residential Home →

  2. November 2017Goodstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Albert House Residential Home →

  3. December 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2010

    Registered with the Care Quality Commission on 9 November 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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