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Archived: Abbeywood Outstanding

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Inspection Summary


Overall summary & rating

Outstanding

Updated 10 November 2018

Abbeywood 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. Abbeywood accommodates 51 people in one adapted building. The building is over two floors and set out in five living areas, each with their own lounge and dining rooms.

At the time of our unannounced inspection on 2 October 2018 there were 44 older people living at the home, some of whom were living with dementia. A further person moved in during the afternoon of our inspection, increasing the number to 45.

There was a registered manager in place. 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. The registered manager assisted us with our inspection.

At the last inspection on 10 March 2016, the service was rated Good. At this inspection we found the service remained Good in Safe, Effective and Caring. The service had progressed to ‘Outstanding’ in Responsive and Well-Led. We found the responsiveness to each person’s, needs, desires and wishes was an excellent feature of the care provided at Abbeywood.

People’s care and support was planned proactively in partnership with them. Staff used individual ways of involving people and people took a key role in the local community. People’s needs were responded to in a way that promoted an enhanced sense of well-being. They had facilities and support available to them to help them live as fulfilling a life as possible. People’s care was tailored to their individual needs. Technology was used appropriately to the benefit of people and staff showed a dedication to involving people in the local community for people’s benefit.

People had opportunities to take part in activities that reflected their interests and preferences. Where people’s needs changed staff responded in a proactive way to meet those needs. End of life care was described as ‘super’ by a health care professional. The registered manager took the opportunity to learn from complaints and feedback and responded to these using a face to face approach. The registered manager and staff put people at the front of the service and their attitude demonstrated a ‘can-do’ approach to making sure people’s lives whilst living at Abbeywood was the best it could be.

People, relatives and staff benefited from excellent leadership provided by the registered manager. There was a clear impact for people and staff form the management of the service. Relatives said management was open and transparent and it was clear from our discussions that they had a drive to continuously improve the service people received. Staff said there was a strong team ethos and staff said they received good support from their colleagues. Staff had established effective links with health and social care professionals to ensure people received the care they needed.

The registered manager led by example and as such had developed a positive culture within the staff team. There was a desire to learn from new research and development in relation to people’s needs. The registered manager demonstrated a passion for the service and its people.

People who lived at the home, their relatives and other stakeholders had opportunities to give their views. The provider’s quality monitoring systems were effective in ensuring people received good quality care and support. Important areas of the service were audited regularly and action plans were developed when areas for improvement were identified.

People were supported by sufficient numbers of appropriately skilled staff to meet their needs and keep them safe. Staff understood their responsi

Inspection areas

Safe

Good

Updated 10 November 2018

The service was Safe

People�s medicines were managed safely.

Risks to people were responded to and staff knew how to recognise abuse and act upon it.

People were cared for by enough staff who had been appointed through robust recruitment processes.

People lived in an environment that was clean and checked for its safety.

Lessons were learnt from accidents and incidents and appropriate action taken.

Effective

Good

Updated 10 November 2018

The service was Effective.

People�s needs were assessed before moving in to Abbeywood and the environment was adapted for people�s individual needs.

Staff were provided with the training and support needed to carry out their roles.

People were provided with sufficient food and drink as well as support to access health care professionals when needed.

Staff followed the principals of the Mental Capacity Act 2005.

Caring

Good

Updated 10 November 2018

The service was Caring.

People were cared for by staff who demonstrated a kind and caring approach to them. One that showed people respect and dignity.

People were encouraged to be independent and make decisions about their care.

People were supported to maintain relationships that meant something to them.

Responsive

Outstanding

Updated 10 November 2018

The service provided an outstanding responsive approach.

People could play an active role in the local community.

People could access individualised, meaningful activities to give them a sense of enhanced well-being.

People had access to up to date technology in their day to day living.

People�s needs were responded to by staff and people were actively involved in their care planning.

People�s individuality and social needs were recognised and supported by staff.

There was a good complaints procedure in place which ensured that people were listened to and their views valued.

People received appropriate and compassionate end of life care.

Well-led

Outstanding

Updated 10 November 2018

The service was led in an Outstanding way.

People benefitted from an extremely well led service. One that put people at the forefront.

The registered manager strove for excellence and demonstrated a real passion for the service.

There was a drive to improve the service and to provide high quality, safe, caring and responsive care to people.

The registered manager had created an environment where staff felt supported and there was a positive ethos and good culture within the service.

Excellent links had been developed with external agencies.

People and relatives were positive about the management of the service.

Audits were undertaken to continuously check the quality of the service