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CQC report explained · a residential care home, run by Amber Adult Social Care

Amber House

12 Scawby Road, Broughton, Brigg, DN20 0AF

Goodpublished 16 November 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Staff were safely recruited, staffing levels matched assessed needs, and medicines, infection control and environmental risks were managed well.
Effective?
Good
People had personalised care plans and received support from trained staff. Inspectors found a shortfall because capacity assessments for some restrictions were not always completed or recorded.
Caring?
Good
This key question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This key question was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Well-led?
Good
Leaders had effective audits and monitoring systems, understood people's needs and promoted an open, inclusive and person-centred culture.
The latest report, explained

What inspectors found, November 2023

Rated Good; inspectors found safe, kind and person-centred care, but some capacity assessment records needed improvement.

This was a focused inspection. Inspectors visited on 1 November 2023 and reviewed information, care records, medicines records, staff recruitment files, audits and policies. They spoke with 7 people, 1 relative and 9 staff, and observed care and infection control.

The home was rated Good for Safe, Effective and Well-led. People told inspectors they felt safe. Staff were trained, safely recruited and understood people's needs. Inspectors found good support with medicines, risks, infection control, health care and daily life.

Inspectors found a warm and respectful culture. People were supported to make choices and be as independent as possible. However, records showing why some restrictions were needed, including physical intervention and medicines, were not always complete. The provider had identified this and was introducing improved capacity assessments.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe. Staff understood safeguarding procedures and knew how to report concerns.

    I feel very safe and supported.from the report
  • Personalised support

    Care plans reflected people's needs, communication and sensory requirements. Staff supported people to make choices, take positive risks and remain as independent as possible.

    Personalised support plans gave clear information for staff to follow in keeping people safe, whilst enabling people to be as independent as possible.from the report
  • Kind and respectful care

    Inspectors found that staff protected people's privacy and dignity and responded to individual needs.

    People received kind and compassionate care. Staff protected and respected people's privacy and dignity.from the report
  • Safe staffing and medicines

    Recruitment checks were completed, staffing levels matched people's assessed needs, and staff were trained and assessed as competent to give medicines.

    Staff were recruited safely. Recruitment files showed all pre-employment checks had been made to ensure only staff who were suitable to work with vulnerable people were employed.from the report
  • Open leadership

    Audits covered areas such as care plans, medicines and infection control. Inspectors found leaders open about areas needing improvement.

    The registered manager understood the duty of candour and was open and honest about where the service needed to improve.from the report
What inspectors were concerned about
  • Capacity assessment records

    needs fixing

    Assessments were not always completed when restrictions were used, including physical intervention and medicines. The provider had recognised this and was putting new assessments in place.

    Assessment of people's capacity to make decisions where restrictions had been applied were not always completed.from the report
Questions to ask them, based on this report
  1. 01How are you now recording people's capacity and best-interest decisions when physical intervention is used?
  2. 02How do you check that medicines given as needed are still necessary and not excessive or inappropriate?
  3. 03How will you involve the person in decisions about restrictions and the least restrictive option?
  4. 04How do you make sure staffing levels remain suitable when people's needs or activities change?
  5. 05How do you gather and act on feedback from people and their relatives?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 16 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Amber House

6 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. November 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Amber House

  2. June 2018Goodup from Inadequate
    Safe: GoodEffective: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. November 2017Inadequatestayed Inadequate
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  4. June 2017Inadequatedown from Good
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  5. April 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. October 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  7. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. June 2011

    Registered with the Care Quality Commission on 9 June 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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