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Abbeyfield - St George's House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 June 2019

About the service: St George’s House can provide care and accommodation for up to 25 older people. At the time of our visit 25 people were being accommodated. The service is provided in a purpose-built building set over two floors with access to garden areas. It is located near a main town.

People’s experience of using the service: People told us that they were happy living at the service and that they received very good care from the staff.

Care plans needed to be regularly reviewed and kept up to date to reflect people’s current needs. Further work was required to ensure the consistency of recording in care plans.

There was a lack of regular planned activities to support people’s well-being whilst living at the service. Activities on offer need to match the needs of the people living at the service.

Systems for governance and oversight were not sufficiently robust to address the issues highlighted at inspection. The manager needs to develop systems to give them clear overview of the service including checking all audits are acted on and kept up to date.

Staff had been recruited safely with the right recruitment checks. People spoke positively about the staff. Staff had the appropriate training.

Medication was managed safely. People got their medicine’s in the right way and at the right time.

The manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to other health professionals were made when required.

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.

The manager responded to complaints received in a timely manner. Support was given to people at the end of their life.

Rating at last inspection: Good (report published 4 October 2016)

Why we inspected: This was a planned inspection based on the previous rating.

Enforcement: We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to person centred care and good governance. Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will continue to monitor information and intelligence we receive about the service to ensure good quality is provided to people. We will return to re-inspect in line with our inspection timescales for Requires Improvement services.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 20 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 20 June 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 20 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 20 June 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 20 June 2019

The service was not always well-led

Details are in our Well-Led findings below.