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Abbeyfield Residential Care Home - The Grove Requires improvement

We are carrying out a review of quality at Abbeyfield Residential Care Home - The Grove. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 April 2021

About the service

Abbeyfield Residential Care Home – The Grove is a residential care home providing personal and nursing care to 26 people aged 65 and over at the time of the inspection. The service can support up to 32 people.

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

The management team at the service were not following government guidelines or adhering to lockdown regulations. New admissions to the home and people discharged from hospital were not isolated as per government guidelines, which placed people and staff at risk of contracting COVID-19. People were at risk due to infection and prevention control processes not being monitored or associated risks not being assessed correctly.

The quality and assurances systems in place were not effective, audits were not fully detailed, and records were not always present. The management team had not completed a fire drill since September 2019 and regular checks of the environment were not always documented or completed. The provider failed to ensure the quality and safety of the service were monitored effectively.

Medicines were not managed safely. People’s medicine and care records did not contain information for staff to follow to safely support people or contain person-centred information.

People had their dependency assessed regularly but this was not used to determine how many staff were required to support people safely. Staff told us that they felt there was always enough staff on duty, but relatives provided mixed reviews on staffing levels.

We have made a recommendation that the provider reviews their processes in place to calculate the number of staff required to safely support people.

The registered manager was open and honest with the inspectors during and after the inspection process. They acknowledged the concerns which had been highlighted to them and started to take action and were working towards resolving the issues.

Relatives told us they were very happy with the support provided to people by staff and felt they were safe. The staff team at the service was well established and staff could tell us the individual needs of each person.

Staff told us they enjoyed working at the service and had good relationships with the people they provided support to. Staff worked in partnership with other healthcare professionals.

People were actively engaged at the service and attended regular resident meetings. Feedback from these meetings was used by the registered manager to make improvements throughout the home.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 good (published 12 February 2020).

Why we inspected

We undertook this targeted inspection to review the infection prevention and control arrangements in place at the service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We inspected and found there were concerns with the infection prevention and control processes and quality and assurance systems in place, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe and well-led.

We have found evidence that the provider needs to make improvement. Please see the Safe and Well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

This report only covers our findings in relation to the Key Questions Safe and Well-led which contain th

Inspection areas

Safe

Requires improvement

Updated 29 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 29 April 2021

Caring

Good

Updated 29 April 2021

Responsive

Good

Updated 29 April 2021

Well-led

Requires improvement

Updated 29 April 2021

The service was not always well-led.

Details are in our well-led findings below.