What the CQC found at Aronel Cottage Care Home Limited

Inspectors found staffing levels were enough to meet people's needs. People said call bells were answered promptly and staff had time to help them.

“There were enough staff to meet people's needs.” from the report

People and relatives described positive relationships with staff. Inspectors observed warm and caring interactions.

“People were treated with kindness and compassion and staff were friendly and respectful.” from the report

Medicines were given by trained nurses and records showed no gaps. People received medicines on time, including time-specific Parkinson's medicines.

“Medicines were administered by trained nurses. Medicines were stored and disposed of safely.” from the report

The home followed the principles of the Mental Capacity Act. People were involved in decisions and supported in the least restrictive way.

“People were supported to have maximum choice and control of their lives” from the report

Inspectors were assured that the home had suitable arrangements for preventing and managing infection outbreaks, including using protective equipment safely.

“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report

Care plans and risk assessments did not contain enough information about health conditions, falls and head injuries. This meant staff might not recognise deterioration or provide consistent care.

“Risk management plans were not in place to mitigate known risks including those associated with health conditions such as diabetes, respiratory conditions and catheter induced infections.” from the report

Some serious injuries and possible safeguarding concerns were not considered or reported properly. The provider later reviewed incidents and made retrospective notifications where required.

“Staff were unclear of their individual responsibilities to prevent, identify and report abuse when providing care and treatment.” from the report

Medicine care plans did not include enough information about as-needed medicines, prescriber's instructions and people's preferences. The provider's auditing systems had not identified these problems.

“Protocols were not in place for administering 'as and when required' (PRN) medicines.” from the report

Staff did not receive one-to-one supervision in line with the provider's policy. Inspectors also saw gaps in understanding of safeguarding, mental capacity and the safe use of equipment.

“Staff did not receive 1-1 supervision in line with the provider's policy.” from the report

Visits were limited to 30-minute booked slots, with only one visitor at a time. Inspectors recommended reviewing this against current government guidance.

“Relatives told us they found this very restrictive especially when they were travelling long distances to spend time with a loved one.” from the report

Cleaning materials were kept in cupboards that could not be locked near the lounge and bedrooms. Inspectors said this created a potential hazard.

“Cleaning materials that had the potential to cause harm to people if ingested, stored in non-lockable cupboards in the hall next to the lounge and people's bedrooms.” from the report