Arbory Residential Home

People and relatives generally said they felt safe and well looked after. Staff understood how to protect people from abuse.

“Overall relatives felt their family member was safe.” from the report

Medicines were stored securely. People and relatives generally felt medicines were managed well.

“Medicines were appropriately stored and secure.” from the report

Most staff were up to date with the training offered. Practical workshops after a choking incident helped staff respond more confidently.

“Staff had subsequently been able to respond confidently when another choking incident occurred.” from the report

People and relatives generally spoke positively about the food. Fluid records showed people received drinks in line with their assessed needs.

“Records we reviewed showed people received fluid in line with their assessed needs.” from the report

Risks such as pressure damage were not always managed. Medicines were sometimes unavailable, allergies were often missing from records, and staff were not trained to give one emergency medicine.

“10 service users had missed a total of 24 doses in July 2023 due to medicines not being available.” from the report

There were not always enough care, housekeeping or activity staff. Inspectors found people needing continence care and mealtime support, and activities were limited.

“There were not always sufficient numbers of staff deployed to meet people's needs.” from the report

Some areas and equipment were dirty or poorly maintained. Inspectors found soiled items, a strong smell of urine, unsafe garden areas and an unreliable nurse call system.

“One person's bed rail bumpers were soiled, and we found 4 people's mattresses were heavily soiled increasing people's exposure to infection.” from the report

The home did not consistently follow legal requirements for consent and mental capacity decisions. In most reviewed cases, consent forms had been signed by people without the legal authority to do so.

“In relation to the 10 people we reviewed, we found in all but 3 cases, consent forms had been signed by third parties who did not have a legal right to provide consent.” from the report

Management checks had not led to the improvements required after the previous inspection. Records and policies were incomplete, and feedback was not consistently listened to or acted on.

“These new and continuing regulatory breaches indicated a provider failure to identify and address concerns and deliver an improvement culture through their own internal monitoring systems.” from the report