Regency Nursing Home

This was the first assessment of this newly registered service.

This assessment considered the following 4 quality statements: Learning culture; Involving people to manage risk; Safe environments; Infection prevention and control.

Risks to people were not always managed or mitigated effectively. We identified shortfalls in the management of skin integrity, falls prevention and fluid monitoring.

Risks associated with the environment had not been clearly documented. There were no recorded risk assessments for the stairwells or free-standing radiators is people’s bedrooms. These presented a potential risk of harm.

We noted that some equipment, including bed rail protectors and toilet surrounds were damaged. This could lead to injury and would also make equipment difficult to clean effectively.

We identified improvements needed to ensure the flow of laundry and to minimise the risk of contamination.

Processes in place to identify learning and drive improvement were not fully in place or effective. This meant avoidable risks to people may not be identified and opportunities for improvement might be missed.

At this inspection there was no evidence of closed cultures. Staff were able to raise issues and felt listened to and supported. The registered manager was open to feedback and demonstrated a willingness to develop and improve the service. The service was registered in October 2023 and systems and processes were still being developed and embedded.

This assessment did not include sufficient quality statements to provide a rating for the service under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This was the first assessment of this newly registered service.

This assessment considered the following quality statement: How staff teams and services work together.

A clear admissions process was in place. This included seeking and sharing of information to promote a smooth transfer. Care plans we reviewed showed input and consultation with range of external health and social care professionals. Although some people and relatives expressed a wish for more involvement in planning their care and support, we found examples of people being involved and of staff working with other professionals to improve people’s health and wellbeing. The provider told us a new clinical lead and director of care had been appointed and they anticipated this would improve communication with people and their relatives/representatives.

This assessment did not include sufficient quality statements to provide a rating for the service under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This was the first assessment of this newly registered service.

This assessment considered the following quality statement: Kindness, compassion and dignity.

People told us staff were kind. From our conversations with staff and observations, it was clear they knew people well and understood how they liked to be supported.

Some people told us staff appeared rushed and they did not always receive support as quickly as they would have liked. A few people and relatives reported feeling a bother to staff on occasion.

This assessment did not include sufficient quality statements to provide a rating for the service under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This was the first assessment of this newly registered service.

This assessment considered the following quality statement: Governance, management and sustainability.

Improvements were needed to systems and processes to ensure effective oversight and to identify areas requiring improvement. Clearer records were needed to demonstrate effective systems of governance and improvement.

The registered manager and provider were open to feedback and demonstrated a willingness to develop and improve the service. The service was registered in October 2023 and systems and processes were still being developed and embedded.

This assessment did not include sufficient quality statements to provide a rating for the service under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.