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Abbey House - Morden Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 29 May 2019

About the service: Abbey House – Morden is a care home that was providing personal care to 11 people with mental health needs at the time of the inspection.

People’s experience of using this service:

• Staffing levels at night were not suitably covered with a volunteer covering part of this staff ratio.

• Appropriate procedures were not always followed when recruiting staff to ensure that checks on staff suitability were robust.

• Quality assurance systems and records were not always accurate in reflecting a current overview of the service. The manager had not ensured that information relayed in relation to significant incidents was always recorded.

• Staff were not always clear on how to identify and report potential safeguarding concerns.

• Some improvements were needed to ensure that the recording of medicines stock balance checks were accurate and medicines were reordered in a timely manner.

• Training records were not sufficient in identifying all the training that staff required. Although competency records were completed in line with the Care Certificate we saw no evidence that staff had been assessed against these standards.

• Records in relation to people’s care were not always fully complete and up to date to reflect their current needs.

• People felt well cared for and their relatives echoed that staff looked after people well, respecting their privacy and dignity.

• People were well supported to access activities in the community and participate in events they enjoyed.

• The manager was transparent in working alongside other organisations to improve the quality of care for people.

Rating at last inspection:

• At our last inspection of 05 June 2018 the service was rated “Good” (report published 04 July 2018).

Why we inspected:

• This inspection was conducted following the receipt of repeated whistleblow concerns and intelligence about recent safeguarding incidents.


• At this inspection we found breaches of the regulations in relation to staffing and good governance. Details of action we have asked the provider to take can be found at the end of this report.

Follow up:

• We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 29 May 2019

The service was not always safe

Details are in our Safe findings below.


Requires improvement

Updated 29 May 2019

The service was not always effective

Details are in our Effective findings below.



Updated 29 May 2019

The service was caring

Details are in our Caring findings below.


Requires improvement

Updated 29 May 2019

The service was not always responsive

Details are in our Responsive findings below.


Requires improvement

Updated 29 May 2019

The service was not always well-led

Details are in our Well-Led findings below.