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Abbeyfield Deben Extra Care Society Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 22 October 2019

About the service

Abbeyfield Deben Extra Care Society Limited is a residential care home providing personal care for up to 24 people in one adapted building. At the time of our inspection there were 22 people living in the service. The service does not provide nursing care.

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

There were systems to assess and mitigate the risks of avoidable harm and abuse. People received their medicines when they needed them, and medicines were managed safely. There were enough staff to meet people’s needs and safe recruitment processes were undertaken. Infection control processes in place, helped to reduce the risk of cross infection.

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. People were supported by staff who were provided with training to meet their needs. People’s dietary and health care needs were assessed and met. Where concerns about people’s health were identified, they were supported to have access to health care services. The environment was well maintained and accessible for the people who lived there.

People were cared for by kind and considerate staff. People were consulted about the care they were provided with and their choices were acted on. People’s rights to privacy, independence and dignity were met.

People’s care needs were assessed, planned for and met. People’s choices about their end of life decisions were documented. People had access to social activities to provide stimulation and reduce the risks of loneliness and isolation. There was a complaints procedure in place and complaints and concerns were addressed.

There were systems to assess and monitor the service people received. This helped the management team to identify and address shortfalls. People’s views were sought about the service and these were used to drive improvement.

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 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Abbeyfield Deben Extra Care Society Limited on our website at www.cqc.org.uk.

Enforcement

Since the last inspection in February 2017 we have prosecuted the registered provider for an offence under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Regulation 12(1) refers to failure to provide safe care or treatment resulting in avoidable harm to person using a service or exposes a service user to a significant risk of exposure to avoidable harm. Prior to our last inspection a person fell down stairs at the service and died. The registered provider pleaded guilty and were fined at Magistrates court in September 2019. Our previous inspection of 23 February 2017 (published 12 April 2017) was prompted in part by this incident. Because the incident was subject to a criminal investigation and as a result the previous inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk related to the environment. At that inspection we examined those risks and found the service had assessed and mitigated the risks of avoidable harm.

The 2014 Regulations make it a criminal offence to fail to comply with Regulation 12(1) where the failure to provide safe care or treatment results in avoidable harm to a service user or exposes a service user to a significant risk of exposure to avoidable harm. The 2014 Regulations took effect on 01 April 2015 and coincided with a transfer of enforcement responsibility for health and safety incidents in the health and

Inspection areas

Safe

Good

Updated 22 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 22 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 22 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 22 October 2019

The service was well-led.

Details are in our well-Led findings below.