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Inspection Summary


Overall summary & rating

Good

Updated 12 October 2016

This inspection took place on 29 June 2016 and was unannounced.

Abbottswood Lodge provides residential care and support for up to 22 adults with a learning disability. At the time of our inspection, 20 people were living in the home.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were safe in the home. Staff understood the safeguarding processes and knew what constituted abuse. Staff knew how to keep people safe and reported any issues of concern appropriately. Risk assessments were clear and detailed and reviewed regularly. Staff followed guidance and protocols that were in place to help reduce the risks for people. People received their medication on time and in the manner the prescriber intended.

There were enough staff to meet people’s needs properly and the staff on duty had the skills and knowledge to support people effectively and meet their needs in a timely manner. Appropriate and safe recruitment practices were followed, to help make sure staff were suitable to work with people in a care environment.

Staff received good support from each other as well as from the manager and deputy. Staff were regularly supervised and the management team was hands on and approachable.

The CQC is required to monitor the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS) and report on what we find. The manager ensured the service operated in accordance with the MCA and DoLS procedures and staff demonstrated a clear understanding of the MCA, DoLS, capacity and consent. People were supported to make their own decisions and choices as much as possible.

People received enough food and drink to meet their individual needs and staff had a good understanding and knowledge of people’s dietary needs. Referrals to healthcare professionals were made promptly as needed and any advice or guidance given was followed appropriately by staff. There was also consistent monitoring and appropriate communication by staff, regarding people’s healthcare needs and any changes.

People were fully involved, where possible, in planning and reviewing their own care and staff appropriately supported people, when necessary, to make informed choices for themselves.

Staff were kind, caring and compassionate. People were treated with dignity and respect and their privacy was upheld. People were also supported and encouraged to do as much for themselves as possible, in order to enhance and maintain their independence. When people reached an ‘end of life’ phase, they received personalised care that maintained their dignity and still included them in day to day life in the home.

People took part in activities of their choosing and followed their own hobbies and interests, inside and outside of the home. Visitors were always welcomed without unnecessary restrictions and people’s personal relationships were valued and respected. People were listened to and comments or complaints were welcome. Any complaints were fully investigated and actions taken to improve the quality of care provided.

The service maintained strong links with the community. There were effective systems in place to monitor the quality of the service and these were used to develop the service further. Staff and people living in the home were regularly involved in making decisions on how the home was run. Record keeping and management systems were up to date, with effective auditing and follow up procedures in place. An open and inclusive culture was demonstrated in Abbottswood Lodge, with clear and positive leadership evident.

Inspection areas

Safe

Good

Updated 12 October 2016

The service was safe

Staff knew how to keep people safe and reported any issues of concern properly.

Risk assessments were clear and detailed and reviewed regularly. Staff acted in accordance with the guidance and protocols that were in place to help reduce the risks for people.

Staffing levels were sufficient to meet people’s needs appropriately and in a timely manner. Safe recruitment practices were followed, to help ensure staff were suitable to work with people in a care environment.

Medication was administered, stored and managed safely and people received their medication on time and in the manner the prescriber intended.

Effective

Good

Updated 12 October 2016

The service was effective.

Staff had the skills and knowledge to support people effectively, had regular supervisions and completed training that was effective and relevant to their roles.

The service operated in accordance with the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) procedures.

People had enough to eat and drink and staff had a good knowledge and understanding of people’s dietary needs.

Referrals to healthcare professionals were made promptly as needed and any advice or guidance given was followed appropriately by staff.

Caring

Good

Updated 12 October 2016

The service was caring.

People were treated with kindness, dignity and respect and their privacy was consistently upheld.

People were fully involved in making decisions around how they spent their day and what care and support they received.

Visitors were always welcomed, without unnecessary restrictions and people’s relationships were valued and respected.

People received personalised end of life care that maintained their dignity and still included them in day to day life in the home.

Responsive

Good

Updated 12 October 2016

The service was responsive.

Care records provided clear guidance for staff to understand how to meet each person’s specific care and support needs.

Care was centred on each person as an individual and people took part in appropriate and meaningful activities.

People could complain or raise issues if they had any and felt they were listened to properly.

Well-led

Good

Updated 12 October 2016

The service was well led.

The service maintained strong links with the community.

There were effective systems in place to monitor the quality of the service. Staff and people living in the home could make suggestions for improvement and contribute to the planning and development of the service.

Record keeping and management systems were in good order, with effective auditing and follow up procedures in place.

An open and inclusive culture was demonstrated in Abbottswood Lodge, with clear and positive leadership evident.