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Care Services

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Athlone House Nursing Home, 7a Woodfield Road, London.

Athlone House Nursing Home in 7a Woodfield Road, London is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, physical disabilities, sensory impairments and treatment of disease, disorder or injury. The last inspection date here was 22nd May 2018

Athlone House Nursing Home is managed by Sanctuary Care Limited who are also responsible for 60 other locations

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2018-05-22
    Last Published 2018-05-22

Local Authority:

    Westminster

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

12th April 2018 - During a routine inspection pdf icon

We carried out a comprehensive inspection of this service on 15 and 19 January 2016 at which a breach of legal requirements was found in relation to the prevention and control of infection. We also found that people's care records and risk assessments were not always completed accurately or reviewed in line with the provider's policies and procedures.

At a focused inspection on 2 September 2016 we found that the provider was meeting the legal requirements in relation to safe care and treatment.

At this inspection we rated the service ‘Good’.

Athlone House Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service is set out over two floors and provides nursing and accommodation to 23 adults with continuing and palliative care needs. The home is fully accessible, with a lift serving all floors. There were 19 people living at the home at the time of inspection.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe and were happy with the care provided. Staff were appropriately trained and skilled to care for people.

Where possible, people were involved in decisions about their care and how their needs would be met. Where appropriate, relatives and healthcare professionals contributed to the care planning process.

Systems were in place to identify and reduce risks to people living in the home. Risk assessments and management plans were in place to mitigate risks in relation to people’s mobility, nutrition, personal care, physical and mental health and well-being.

People were protected from avoidable harm and abuse because the provider had effective safeguarding systems in place. Staff understood how to recognise the signs of abuse and told us they would speak to a manager if they had concerns about a person’s safety or welfare.

Staff had a good understanding of mental health legislation. Where possible, staff supported people to make their own decisions and sought consent before delivering care and support.

People’s care records included written evidence of best interests decisions having been made in accordance with the Mental Capacity Act 2005 and relevant safeguards.

People's medicines were managed, stored and administered safely. Medicine audits were completed on a daily, weekly and monthly basis.

The service was complying with the Accessible Information Standard (AIS). The AIS applies to people using the service who have information and communication needs relating to a disability, impairment or sensory loss.

The service employed a full-time activities co-ordinator and a range of one to one and group activities took place within the home.

People were supported to eat and drink. People provided a mixed response when asked if they enjoyed their meals. Food and fluid charts were completed when risk of poor eating and drinking had been identified.

Staff supported people to attend healthcare appointments as required and liaised with people’s relatives, GPs and other healthcare professionals to ensure people’s needs were met appropriately.

Staff sought advice and guidance from palliative care teams when needed to ensure people remained comfortable and supported at the end of their lives.

People and their relatives, visitors and staff were asked for their views about the running of the service via regular meetings, feedback forms and annual surveys. People and their relatives felt able to raise concerns and were confident that any issues w

2nd September 2016 - During an inspection to make sure that the improvements required had been made pdf icon

We carried out an unannounced comprehensive inspection of this service on 15 and 19 January 2016 at which a breach of legal requirements was found. This was because people’s care records were not always completed accurately, consistently or effectively and not all risk assessments had been completed in full, or reviewed in line with the provider’s policies and procedures. In addition staff were not always following policy and procedure in relation to the prevention and control of infection.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach. We undertook a focused inspection on the 2 September 2016 to check that they had followed their plan and to confirm that they now met legal requirements.

This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Athlone House Nursing Home’ on our website at www.cqc.org.uk’

Athlone House Nursing Home is registered to provide accommodation, nursing and personal care for up to 23 older people, some of whom may have dementia and end of life care needs. The home is divided over two floors with lift access. Rooms are wheelchair accessible and have ensuite bathroom facilities. At the time of our inspection 22 people were using the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our focused inspection on the 2 September 2016, we found that the provider had followed their plan which they had told us would be completed by the 25 May 2016. Legal requirements had been met in relation to infection control. The provider had carried out quality audits on a monthly basis covering areas such as care planning and care reviews, risk assessments, safeguarding and infection control. Audits were detailed in scope and had identified shortfalls in some areas.

However, not all care records and risk assessments were being completed in full. Information gathered from initial assessments was used to develop a plan of care for each person moving into the service. Care plans outlined people's individual needs and preferences and provided information to staff as to how people's needs should be met. However, we found minor inconsistencies, omissions and inaccuracies across three out of the six sets of care records we reviewed.

Staff maintained daily records about people's care and welfare. We saw that support was responsive to people's changing needs and staff recognised how to adjust the care provided dependent on whether a person was having a good or bad day. We observed an afternoon handover meeting taking place and we noted that people’s needs were discussed in a respectful and caring manner.

19 members of staff had completed training in care planning and 10 staff members had attended a training session delivered by a tissue viability nurse to learn about pressure ulcer prevention and management. Refresher training sessions on tracheostomy care, enteral feeding, venepuncture and enteral feeding were scheduled to take place throughout September 2016.

During our visit we saw that the home was clean and tidy and that staff had access to disposable gloves, hand gels and aprons. Posters reminding staff and visitors of infection protocol were on display throughout the home. We observed the correct bins being used to dispose of clinical and household waste. Bathrooms were clean and free of personal items. Staff we spoke with were aware of the provider’s infection control policies and procedures and knew how important it was to follow these guidelines.

People we spoke with, relati

15th January 2016 - During a routine inspection pdf icon

This inspection took place on 15 and 19 January 2016. This is the first inspection we have carried out since the service registered with the Care Quality Commission (CQC) under a new provider in August 2015. The first day of our visit was unannounced.

Athlone House Nursing Home is registered to provide accommodation, nursing and personal care for up to 23 older people, some of whom may have dementia and end of life care needs. The home is divided over two floors with lift access. Rooms are wheelchair accessible and have ensuite bathroom facilities. At the time of our inspection 22 people were using the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Safeguarding adults from abuse procedures were available and staff understood how to safeguard the people they supported. Staff had received training on the Deprivation of Liberty Safeguards (DoLS) and the Mental Capacity Act 2005 (MCA). These safeguards are there to make sure that people receiving support are looked after in a way that does not inappropriately restrict their freedom. Services should only deprive someone of their liberty when it is in the best interests of the person and there is no other way to look after them, and it should be done in a safe and correct way.

Where possible, people were involved in decisions about their care and how their needs would be met. Where appropriate, family members and health and social care professionals contributed to the care planning process. Staff knew what to do if people could not make decisions about their care needs in line with the MCA.

Risk assessments were in place and covered areas such as falls, pressure ulcers and nutritional needs. However, not all risk assessments had been completed in full, or reviewed in line with the provider’s policies and procedures.

Staff were not always following policy and procedure in relation to the prevention and control of infection.

Medicines were managed safely. Following a discussion with the registered manager we were informed that systems to better manage people’s pain relief would be implemented to ensure that people consistently received their medicines safely, and as prescribed.

Monthly audits were carried out across various aspects of the service; these included the administration of medicines and health and safety checks. However, where these audits identified that improvements were needed action, improvements were not always being implemented in a timely manner.

People were provided with a choice of food and drink, and were supported to eat when this was needed. Staff treated people with kindness, patience and understanding.

People told us they were happy with the care provided. Staff were appropriately trained and skilled to care for people. They understood their roles and responsibilities as well as the values of the service.

People were kept safe from the risk of abuse. Risks to people were identified and staff took action to reduce those risks.

Staff supported people to attend healthcare appointments as required and liaised with people’s family members, GPs and other healthcare professionals to ensure people’s needs were met appropriately.

Staff received supervision and guidance where required. Staff confirmed they felt supported by the manager who we were told was accessible and approachable.

Sufficient staff were available and they had the necessary training to meet people's needs. Staff responded to people’s needs promptly.

There was a complaints policy which the registered manager followed when complaints were made to ensure they were investigated and responded to appropriately. People and their relatives felt confident

 

 

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