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Inspection Summary


Overall summary & rating

Good

Updated 6 December 2017

At the last inspection of Abbey Lea Care Home in October 2015 the service met all of the regulations we assessed under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At that inspection the service was rated ‘Good’.

This inspection of Abbey Lea Care Home took place on 27 September 2017 and was unannounced. At this inspection we found the service remained ‘Good’.

Abbey Lea Care Home provides care and support to a maximum of 23 older people who may be living with dementia. The building is an old farmhouse with facilities on two floors, accessed by a passenger lift, and a single-storey extension to the rear. Some people had en-suite bedrooms and there was plenty of communal space in the form of two large lounges (one with dining space), a separate dining room, an entrance sitting-hall and other smaller seating areas. Two rooms were shared rooms, but the rest were single occupancy. The service had patio doors onto an enclosed courtyard with patio pavers, flower beds with a variety of well-kept plants for people to enjoy and seating areas.

The registered provider was required to have a registered manager in post. There was a registered manager that had been in post for six and a half years. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 protected from the risk of harm, as there were systems in place to manage safeguarding concerns. Staff were trained in safeguarding adults from abuse and understood their responsibilities with regards to safeguarding concerns. Risks were managed so that people avoided injury or harm. The premises were safely maintained and there was documentary evidence to show this. Staffing numbers were sufficient to meet people’s need and we saw that rosters cross referenced with the staff that were on duty. Recruitment systems were followed to ensure staff were suitable to support people. The management of medicines was safe.

Qualified and competent staff were employed and supervised by seniors or the registered manager. Their personal performance was checked at an annual appraisal. People’s mental capacity was appropriately assessed and their rights were protected. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported with nutrition and hydration to maintain their levels of health and wellbeing. The premises were suitably designed and furnished for providing care and support to older people and those living with dementia.

People received compassionate care from kind staff that knew about people’s needs and preferences. People were provided with information that helped them make choices, involved in their care and asked for their consent before staff undertook any support tasks. People’s wellbeing, privacy, dignity and independence were respected. This ensured people felt satisfied and were enabled to maintain control of their lives.

People were supported according to their person-centred care plans, which reflected their needs well and were regularly reviewed. Everyone we spoke with felt Abbey Lea Care Home provided support that was very responsive to people's needs. People engaged in an abundance of pastimes, activities and occupation if they wished to and were encouraged to maintain many of their daily living skills and abilities. The focus of the service was on activity and occupation at an appropriate level for people to achieve. There was an array of interesting visual displays around the premises, which promoted discussion and reminiscence, while daily activities and conver

Inspection areas

Safe

Good

Updated 6 December 2017

The service remains Good.

Effective

Good

Updated 6 December 2017

The service remains Good.

Caring

Good

Updated 6 December 2017

The service remains Good.

Responsive

Good

Updated 6 December 2017

The service remains Good

Person-centred care plans reflected people�s needs well. Everyone felt the service was responsive, which enhanced people�s sense of wellbeing and gave them a good quality of life.

People engaged in an abundance of pastimes, activities and occupation and were encouraged to maintain many of their daily living skills and abilities.

There were interesting visual displays around the premises and activities and conversations promoted reminiscence and memory recall. All of this was based on best practice.

People had very good family connections and support networks, which meant they had active involvement with the community. The service had an effective complaint system and complaints were investigated without bias.

Well-led

Good

Updated 6 December 2017

The service remains Good.