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Inspection carried out on 2 August 2017

During a routine inspection

Abbeygate Rest Home is registered to provide accommodation and personal care for up to 24 older people. The registered provider also offers day care support in the same building as the care home although this type of service is not regulated by the Care Quality Commission (CQC).

We carried out our inspection on 2 and 24 August 2017. The inspection was unannounced. There were 20 people living in the home on the first day of our inspection.

The home had a registered manager in post. A registered manager is a person who has registered with CQC to manage the service. Like registered providers (‘the provider’) 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.

At our last inspection in July 2015 we rated the home as Good. Following this inspection the rating remains as Good.

Action was required to improve the provision of communal activities and other forms of stimulation and occupation. In all other areas however, the provider was meeting people’s needs effectively.

CQC is required by law to monitor the operation of the Mental Capacity Act, 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves. At the time of our inspection no one living in the home was subject to a DoLS authorisation or application. Staff had a clear understanding of the MCA and demonstrated their awareness of the need to obtain consent before providing care or support to people. Decisions that staff had made as being in people’s best interests were correctly documented.

In her relatively short time in post, the registered manager had won the loyalty and respect of her staff. She demonstrated a positive and forward-looking approach and was committed to the continuous improvement of the home in the future. A range of auditing and monitoring systems was in place to monitor the quality and safety of service provision.

There was a warm, relaxed atmosphere and staff supported people in a kind and friendly way. Staff knew and respected people as individuals and provided responsive, person-centred care. People were provided with food and drink of good quality that met their individual needs and preferences.

There were sufficient staff to keep people safe and meet their needs, although the provider agreed to take action to improve call bell response times. Staff worked together in a well-coordinated and mutually supportive way. There was a varied training programme in place to provide staff with the knowledge and skills they required to meet people’s needs effectively.

People’s medicines were managed safely and staff worked closely with local healthcare services to ensure people had access to any specialist support they required. People’s individual risk assessments were reviewed and updated to take account of changes in their needs. Staff knew how to recognise and report any concerns to keep people safe from harm.

Inspection carried out on 08 July 2015

During a routine inspection

This was an unannounced inspection carried out on 8 July 2015. Abbeygate Rest Home provides accommodation for up to 24 people who require residential care and also supports people living with dementia. There were 19 people living in the service when we carried out our inspection.

At the time of our inspection 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 legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

The Care Quality Commission is required by law to monitor how a provider applies the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way. This is usually to protect themselves. At the time of our inspection no one was currently subject to an active DoLS authorisation.

Staff knew how to recognise and report any concerns so that people were kept safe from harm and background checks had been completed before new staff were appointed. Staff helped people to avoid having accidents.There were arrangements in place for ordering, storing, administering and disposing of medicines.

Staff had been supported to assist people in the right way, including people who lived with dementia and who could become distressed. People had been helped to eat and drink enough to stay well. We found that people were provided with a choice of meals. When necessary, people were given extra help to make sure that they had enough to eat and drink. People had access to a range of healthcare professionals when they required specialist help.

Staff understood people’s needs, wishes and preferences and they had been trained to provide effective and safe care which met people’s individual needs. People were treated with kindness, compassion and respect.

People were able to see their friends and families when they wanted. There were no restrictions on when people could visit the service. Visitors were made welcome by the staff in the service. People and their relatives had been consulted about the care they wanted to be provided. Staff knew the people they supported and the choices they made about their care and people were supported to pursue their hobbies and interests.

There were systems in place for handling and resolving complaints. People and their relatives knew how to raise a concern. The service was run in an open and inclusive way that encouraged staff to speak out if they had any concerns. The registered manager regularly assessed and monitored the quality of the service provided for people. The service had established links with local community groups which benefited people who lived in the service.

Inspection carried out on 21 January 2014

During a routine inspection

There were 17 people living at Abbeygate Rest Home on the day we visited. We spent time observing care and spoke with two people who lived at the home and two relatives.

We spent time observing care. We saw staff were polite and courteous to people and called people by their preferred name.

We saw that people were provided with a good choice of nutritious food, appropriate to their needs. One person told us "The food is good, there is always plenty to eat."

People were protected from cross infection and hygiene was maintained to a good standard. Medicines were managed well, they were administered in a safe and considerate manner.

Appropriate checks were completed on staff before they were allowed to work with vulnerable people. There was good evidence of appropriate training for all staff. Staff files were complete and properly held and stored.

People using the service had appropriate records maintained. These were stored and used in a manner that protected confidentiality.

Inspection carried out on 31 October 2012

During a routine inspection

We found Abbeygate Rest Home provided a comfortable, caring and safe environment for the people who were living there.

We visited the home and spoke with five people who lived there. Everyone we spoke with told us they were satisfied with the service and said they were being well cared for.

One person told us, “I can’t fault anything. They couldn’t be nicer or more helpful.” Another person said, “We are well looked after here. The care staff are nice. They treat me with respect.”

We asked people if they felt safe. Everyone agreed they did. One person told us, “I have no concerns, nothing is too much trouble.”

We spoke with four relatives who were visiting the home. One family told us, “Mum is being very well cared for. She is very poorly at the moment and the staff are doing a very good job of caring for her.” Another relative told us, “Mum settled in really quickly, I thought it would take a lot longer as she has always lived with me. I know I have piece of mind when I go home and leave her here.”

We also spoke with a district nurse who visits the service. They told us, “What I like about this service is the care staff know the people very well. They are very knowledgeable about what people have had to eat and drink. People are not just left in their rooms and they looked nicely washed and dressed.”

Inspection carried out on 14 November 2011

During an inspection in response to concerns

We carried out this responsive review because we had concerns that this service had not been visited since the last inspection which took place on 22 October 2008.

We spoke with several people and asked them for their views about what it was like to live at Abbeygate Rest Home.

People told us they were happy with their care and felt safe at the home. One person said “I’ve not been here long, but up to now I am satisfied”. They told us that their privacy was respected and that staff always knocked on the door before entering.

People told us the meals were good and there was a choice of meals available, one person told us that if you didn’t like either choice on the menu they would find you something that you liked.

Reports under our old system of regulation (including those from before CQC was created)