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Abbotsleigh Mews Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 24 October 2019

About the service

Abbotsleigh Mews Care Home is a care home accommodates 120 people living with dementia, sensory impairment or a physical disability across four separate houses, each of which has separate adapted facilities. There were 119 people using the service at the time of our inspection.

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

We have made two recommendations about the management of some falls and dining experiences of people in Calvin House (one of the four houses).

People and their relatives gave us positive feedback about their safety and told us that staff treated them well. The registered manager and staff understood what abuse was and the signs to look for. Senior staff completed risk assessments for each person which were up to date with clear guidance for staff on how to reduce risks. The provider carried out comprehensive background checks of staff before they started work. Staff kept the premises clean and safe. The provider had a system to manage accidents and incidents.

Staff carried out pre-admission assessments of each person’s needs to see if the service was suitable and to determine the level of support they required. Staff received appropriate support through training, supervision and appraisal to ensure they could meet people’s needs. Staff told us they felt supported and could approach their line manager and the registered manager at any time for support.

Staff assessed people’s nutritional needs and supported them to have a balanced diet. The provider had strong links with external professionals and worked with them in a timely manner to ensure people received effective care. Staff completed health action plans for everyone who used the service and monitored their healthcare appointments. The provider worked within the principles of Mental Capacity Act (MCA). Staff asked for people’s consent, where they had the capacity to consent to their care.

People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported support this practice.

Staff showed an understanding of equality and diversity. They involved people or their relatives in the assessment, planning and review of their care. Staff respected people’s choices and preferences. They recognised people’s need for stimulation and supported them to follow their interests and take part in activities.

Staff developed care plans for people based upon their assessed needs. Care plans were reviewed on a regular basis and were reflective of people’s current needs. People told us they knew how to make a complaint and would do so if necessary. The provider had a clear policy and procedure for managing complaints. People received appropriate end-of-life support.

The service had a positive culture, where people and staff told us they felt the provider cared about their opinions and included them in decisions. The registered manager had knowledge about people living at the home and made sure they kept staff updated about any changes to people’s needs. They encouraged and empowered people and their relatives to be involved in service improvements through periodic meetings. The provider had worked effectively in partnership with a range of healthcare professionals.

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 (report published on 27 April 2017).

Why we inspected

This was a planned inspection based on the rating at the last inspection.

Follow up

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

Inspection areas

Safe

Requires improvement

Updated 24 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 24 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 24 October 2019

The service was well-led.

Details are in our well-Led findings below.