Regent Residential Care Home

Regents Residential Care home is registered to care for up to 64 people. Accommodation and personal care are provided for older and younger people, people living with dementia, physical disabilities, sensory impairments, learning disabilities and Autistic people. At the time of our visits 53 people were living at the service. There were no people living at the service with a learning disability or Autistic people. Our decision to inspect the service was due to the length of time since our last rated inspection and some concerns with falls management. During the inspection we assessed all quality statements under the key questions of safe, effective, caring, responsive and well led. The service was previously rated good and has now changed to requires improvement. We identified a breach in legal regulation in relation to good governance and oversight. We will ask the provider to submit an action plan detailing how they will ensure improvements are maintained and embedded at the service.

We identified some concerns in relation to the environment, IPC, staff training, medicines documentation, clinical care guidance, modified diets, daily documentation and management and oversight. Managers took prompt action to address these concerns during the inspection process.

People’s needs were assessed prior to admission to the service, and care plans were reviewed regularly with people and relatives. However, some care plans contained contradicting information. We spent time talking with staff, which confirmed they knew people’s preferences, choices and wishes well.

Medicines documentation required further strengthening to ensure medicines were administered as prescribed, particularly for people who required specific regimes prior and after administration.

Accidents and incidents were recorded, investigated and shared with the staff team, and actions were taken to learn from these to reduce the risk of reoccurrence. Documentation was monitored to identify any themes or patterns.

Staff were recruited safely into the service, and the appropriate checks were carried out to ensure staff were of good character before they commenced employment. Staff had received mandatory training; however not all staff had completed training to meet people’s specific clinical needs.

People were supported to maintain their independence and staff ensured their dignity was maintained.

We observed positive and meaningful interactions with people and relatives, who told us they had been involved in care planning and were regularly kept up to date with any changes at the service.

There were systems and processes in place to monitor the quality of care provided, however, some of these required further improvements to ensure the service identified concerns in order to continually drive improvements.