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Abbotsleigh Dementia Nursing and Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 14 December 2018

This inspection took place on 13 November 2018 and was unannounced.

Abbotsleigh is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to accommodate up to 60 people. At this inspection, 46 people were living at the service.

There was a registered manager in post who was present during the inspection. 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 2008 and associated Regulations about how the service is run.

At our last inspection in November 2017, the service was rated Requires Improvement. Five breaches of the Health and Social Care Act 2008 (Regulated Activities) were identified. We issued requirement notices relating to person centred care, good governance, dignity and respect and safe care and treatment. We asked the provider to take action and they completed an action plan to show what they would do and by when. We undertook this inspection to check that they had followed their plan and to confirm that they now met legal requirements.

At this inspection, significant improvements had been made and the provider had met all of the breaches found at the last inspection. The overall rating for the service is now Good.

The home was clean, spacious and suitable for the people who used the service, and appropriate health and safety checks had been carried out.

People's needs were assessed before they started using the service and support plans were written in a person-centred way. Person-centred means ensuring the person is at the centre of any care or support and their individual wishes, needs and choices are taken into account.

Accidents and incidents were appropriately recorded and risk assessments were in place. The registered manager understood their responsibilities about safeguarding and staff had been trained in safeguarding vulnerable adults.

People were safeguarded from the risk of abuse because staff had received training and knew how to recognise and report abuse. Staff told us that they were confident that any concerns they raised would be taken seriously by the registered manager.

Staff treated people with dignity and respect and helped to maintain people's independence by encouraging them to care for themselves where possible.

Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people's preferences of care. Staff always worked hard to promote people's independence through encouraging and supporting people to make informed choices

People were protected from the risk of poor nutrition and staff were aware of people's nutritional needs. Care records contained evidence of people being supported by the organisations nutritional therapist.

There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The provider had an effective recruitment and selection procedure and carried out relevant vetting checks when they employed staff.

Staff were receiving training, supervision and appraisals. Additional supervision was provided to staff around specific areas if needed.

People were offered a choice of meals and snacks. People told us there was a good choice of food and they enjoyed the food they were given. When people needed a special diet and assistance to eat their meals, this was provided.

Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs.

People’s end of life wishes were recorded to ensure that their expressed needs were met during this time. Staff had received training to support people at the end of

Inspection areas

Safe

Good

Updated 14 December 2018

The service was safe.

Risks to people had been identified and staff supported people to be as independent and safe as possible.

Peoples medicines were managed safely.

Staff knew how to keep people safe if they were at risk of abuse or discrimination.

Action was taken to stop accidents and incidents happening again.

There were enough staff who knew people well, to provide the care people needed.

The service was clean.

Checks were completed on staff to make sure they were honest, trustworthy and reliable.

Effective

Good

Updated 14 December 2018

The service was effective.

People were supported to have their assessed needs, preferences and choices met by staff with the necessary skills and knowledge.

Staff understood the relevant requirements of the Mental Capacity Act 2005. Where people lacked capacity, staff acted in their best interests.

People were supported to have enough to eat and drink.

Meals were appropriately spaced and flexible to meet people's needs and people had a diet that was balanced and nutritious.

People were supported to maintain good health and had access to healthcare services which offered on-going healthcare support.

Caring

Good

Updated 14 December 2018

The service was caring.

People were treated with kindness and compassion.

People were supported to be involved in their care as much as possible.

People were encouraged to be as independent as possible.

People were respected, their dignity was maintained.

Responsive

Good

Updated 14 December 2018

The service was responsive.

People received personalised care that was responsive to their needs.

People participated in a variety of activities.

People and relatives knew how to complain and their complaints were dealt with appropriately.

People were supported at the end of their lives

Well-led

Good

Updated 14 December 2018

The service was well led.

There was an open and transparent culture within the service.

The registered manager was visible within the service.

There were systems in place to monitor the quality of the service and make improvements.

Staff shared the provider's vision of good quality care.

Staff were motivated and led by the registered manager. They had clear roles and responsibilities.

The registered manager submitted statutory notifications to the Care Quality Commission when these were required.