• Care Home
  • Care home

Amherst Court

Overall: Good read more about inspection ratings

Palmerston Road, Chatham, Kent, ME4 6LU (01634) 400009

Provided and run by:
Avante Care and Support Limited

Latest inspection summary

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Background to this inspection

Updated 7 October 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by three inspectors.

We spoke with two people who used the service and telephoned four relatives to gain their experience of the care provided. We spoke with eight members of staff including, the two deputy managers, two senior carers, two carers, an activity organiser and a housekeeper. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at three staff files in relation to recruitment. We also reviewed a variety of records relating to the management of the service, quality monitoring and the deployment of staff.

Service and service type

Amherst Court 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 did not have a manager registered with the Care Quality Commission. The service was being managed by two deputy managers. A manager had been appointed to commence management of the 21 September 2020. This means the provider was legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was to establish the safest and most appropriate way of carrying out our inspection visit during the covid-19 pandemic.

What we did before the inspection

We sought and received feedback from the local authority. We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and telephoned four relatives about their experience of the care provided. We spoke with eight members of staff including the two deputy managers, two senior carers, two carers, an activity coordinator and a housekeeper. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management of the service, quality monitoring and staff deployment.

Overall inspection

Good

Updated 7 October 2020

About the service

Amherst Court is a residential care home providing personal care to 60 older people at the time of the inspection. This included people living with dementia. The service can support up to 71 people. The accommodation was provided in four care suites spread over two floors. A lift was available to take people between floors.

People’s experience of using this service and what we found

People and their relatives said they felt safe living at Amherst Court. Staff understood how to recognise abuse and poor practice and how to report it.

We observed staff acting according to the aims of the service to provide person-centred care. They made sure people were able to understand what they were saying and reassured people who were anxious.

Staff were checked to make sure they were suitable for their role. The majority of feedback was that there were enough staff to support people’s needs.

People at high risk of falling had been identified and actions taken to minimise the recurrence. We have made a recommendation to reinstate detailed monthly falls audits.

People were supported to take their medicines as prescribed by their doctor.

There were effective systems to prevent and control infections. Additional measures were in place during the pandemic.

There had not been a manager in post for six months which had affected staff morale. A new manager had been appointed and was introducing themselves to the staff team.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Outstanding (published 15 August 2018).

Why we inspected

We received concerns in relation to the management of falls and staffing levels. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Outstanding to Good. This is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the relevant sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Amherst Court on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.