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Abbeyfield Residential Care Home - Castle Farm Good

Inspection Summary


Overall summary & rating

Good

Updated 25 March 2017

This inspection took place on 8 and 9 February 2017 and the first day was unannounced. This means the provider did not know we were coming.

Abbeyfield Residential Care Home- Castle Farm is a purpose built care home for older people, some of whom have a dementia-related condition. It does not provide nursing care. It has 24 bedrooms and 23 people were living there at the time of this inspection.

At the last inspection, the service was rated good. At this inspection we found the service remained good.

The service had a registered manager. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Systems were in place to protect people from avoidable harm. Staff received safeguarding training and were knowledgeable about their roles and responsibilities for ensuring people’s safety. Risks to people, staff and visitors were assessed and monitored. The service took action to minimise risks where appropriate in order to keep people safe from harm.

Robust recruitment processes were in place to ensure staff members were suitable to work with vulnerable people. Staffing levels were based on the dependency levels of people living at the home and were reviewed on a regular basis. Our observations during the inspection and from feedback we received were that staffing levels were appropriate to safely meet people’s needs.

Appropriate systems were in place for the management of people’s medicines. People were encouraged to maintain their independence, for example through retaining responsibility for managing their own medicines.

Staff were supported through the provision of role specific training, supervision sessions and annual appraisals. Although appraisals for some staff had lapsed at the time of the inspection, the registered manager had taken action to address this. Staff confirmed they felt well supported in their roles and spoke positively about the registered manager and their leadership and management of the home.

The service worked within the principles of the Mental Capacity Act 2005. People’s capacity to make decisions about their care and treatment was assessed and where appropriate, “best interest” decisions were made on people’s behalf. These involved relevant healthcare professionals as well as people’s friends and family members.

People were very complimentary about the kind and caring nature of the staff team. The majority of staff had worked at the home for a significant period of time. They had developed strong, caring relationships with the people they supported and were very knowledgeable about the individual needs, likes and dislikes.

People’s needs were assessed prior to them joining the service. Detailed, person-centred care plans were produced which guided staff on how to care for people. These included details of any preferences people may have. People and their representatives were actively involved in their care planning and were also encouraged to voice their opinions about the service in general.

People’s needs were reviewed on an on-going basis and action taken to obtain the input of other healthcare professionals where appropriate. Systems were in place to ensure people had sufficient to eat and drink and to access other healthcare professionals in order to maintain good health.

A range of systems were in place to monitor and review the quality and effectiveness of the service. Action was taken to address areas for improvement identified. Complaints were taken seriously and records maintained of the action taken by the service in response to any form of dissatisfaction.

Inspection areas

Safe

Good

Updated 25 March 2017

The service remains good.

Effective

Good

Updated 25 March 2017

The service remains good.

Caring

Good

Updated 25 March 2017

The service remained good.

Responsive

Good

Updated 25 March 2017

The service remained good.

Well-led

Good

Updated 25 March 2017

The service remained good.