CQC report explained · a nursing home
What the CQC found at Amberley Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2018
Amberley Nursing Home was rated Good; inspectors found safe, kind and personalised care, with a dining-room trip hazard still awaiting replacement.
This was an unannounced inspection on 5 October 2018. One inspector observed care, spoke with three people, three care staff, two nurses and the registered manager, and reviewed three care records and the home's checks on quality and safety.
The inspectors found that people were kept safe, received their medicines properly and had enough staff support. Staff followed people's care plans, supported health needs and helped people make choices about food, activities and daily life.
People were treated with kindness and respect. Care plans were detailed and personal, including people's communication needs, interests and important relationships. End-of-life care was described as comfortable, dignified and pain-free.
The overall rating was Good, and each of the five areas was also rated Good. This was unchanged from the previous inspection. The report found no serious risks or concerns and no breaches of regulations.
Safe medicines
Inspectors found medicines were stored, administered and recorded safely. Guidance was also available for medicines given only when needed.
“All the medicine administration records (MAR) were completed and when people had medicine on an as required basis for pain relief the details were included.” from the report
Kind and respectful care
Staff knew people well and treated them with kindness, respect and compassion. People's privacy and independence were supported.
“People were treated with kindness and we saw staff showed respect and compassion.” from the report
Personalised care plans
Care plans included people's histories, communication methods, interests, important relationships and personal choices. Staff used this information in daily care.
“Each care plan contained a comprehensive history about the person, including all their life experiences to date and people of importance.” from the report
Flexible staffing
The home adjusted staffing to support appointments, activities and outings. Inspectors found there were enough staff to meet people's needs during the visit.
“There was enough staff to support the needs of people. We saw that the staffing levels were flexible.” from the report
Support at the end of life
People nearing the end of life were supported with comfort, dignity and pain relief. Their wishes and the involvement of important people were considered.
“People were supported at the end of their life (EOL) to have a comfortable, dignified and pain-free death.” from the report
Dining-room trip hazard
needs fixingThe dining-room carpet was stained and had a bubble that could cause someone to trip. A replacement had been quoted for but was waiting for provider approval when inspectors visited.
“The carpet in the dining area was heavily stained and had a bubble creating a possible trip hazard.” from the report
Training records
minorA provider audit found some staff training was not up to date. Completion levels had improved after the manager made this a priority, but the issue was still part of the improvement work.
“The providers regional team had completed an audit in June 2018, this identified that some of the training was not up to date.” from the report
Use of agency staff
minorThe home used agency staff to maintain staffing levels while recruiting permanent staff. One agency nurse said they worked regular shifts, but families may want to ask how this affects continuity.
“The registered manager confirmed that they had a recruitment programme to replace the agency staff.” from the report
- 01Has the dining-room carpet been replaced, and what checks are now in place to prevent trips?
- 02How many agency staff are currently being used, and has the recruitment programme reduced this?
- 03Is all mandatory staff training now up to date, and how is completion checked?
- 04How can residents and families give feedback, including people who cannot easily speak at meetings?
- 05How will the home make sure my relative's communication methods, interests and end-of-life wishes are reflected in their care plan?
This was an unannounced inspection of the overall service and all five key questions; the report used a shorter format because the overall Good rating had not changed since the previous inspection. This explanation was written from the published report of 31 October 2018 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 Amberley Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- October 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Registered with the Care Quality Commission on 8 August 2014.
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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62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.