Aldergrove Manor Care Home

The service was not consistently safe and remains requires improvement. Not enough improvements had been made. We identified 2 breaches of the legal regulations.

People did not consistently have risks to their safety assessed and planned for. Medicines administered on an as required basis did not always have clear guidance in place for staff to follow. There were insufficient staff deployed to meet people's needs in a timely way, people sometimes had to wait for their support with using the toilet, mobility, and meals. Staff did not consistently have the training they needed to support people. However, people were supported by safely recruited staff and staff supported them when they were admitted to the service.

Overall, the service was effective. Where people had needs relating to their health these were understood and staff helped them to monitor and manage their conditions. However, some improvements were needed to ensure people were consistently involved in assessments relating to their health, wellbeing, and care.

The service was not consistently well led and remains requires improvement. Not enough improvements had been made and we identified a continued breach of the legal regulations.

The governance and oversight systems had not ensured there were sufficient staff or that risks to people’s safety were fully assessed. There were concerns identified through the governance systems with medicines guidance, but the system had not ensured these were acted upon. The system to action repairs had not been effective in ensuring actions were taken.