You are here

Inspection Summary


Overall summary & rating

Good

Updated 22 November 2018

This inspection took place on the 23 October 2018 and was unannounced. At the previous inspection of this service in September 2017 we rated them a Requires Improvement and found one breach of regulations. This was because they did not have effective systems in place for the management of Deprivation of Liberty authorisations. During this inspection we found this issue had been addressed and we rated them as Good.

Abbey Care Complex is a care home. People in care homes receive accommodation and nursing or personal care as 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 accommodates a maximum 50 of people across three separate units, 46 people were using the service at the time of our inspection. The service provides support with both nursing and personal care to older people, many of whom were living with dementia.

The service had 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.

There were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place and safeguarding allegations were managed appropriately. Risk assessments provided information about how to support people in a safe manner. Procedures were in place to reduce the risk of the spread of infection. Medicines were managed safely. Steps had been taken to ensure the physical environment was safe. Lessons were learnt when accidents and incidents occurred.

People’s needs were assessed before they started using the service to determine if those needs could be met. Staff received on-going training to support them in their role and undertook induction training on commencing work at the service. People were able to make choices for themselves and the service operated within the principles of the Mental Capacity Act 2005. People told us they enjoyed the food and that they had enough to eat. People were supported to access relevant health care professionals as appropriate.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity. Confidentiality was respected and records were held securely.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint. Complaints had been dealt with in line with the procedure. End of life care was managed in an appropriate way.

Staff and people spoke positively about the senior staff at the service. Quality assurance and monitoring systems were in place which included seeking the views of people who used the service. The service worked with other agencies to develop good practice.

Inspection areas

Safe

Good

Updated 22 November 2018

The service was safe. Appropriate safeguarding procedures were in place and staff understood their responsibility for reporting any safeguarding allegations.

Risk assessments were in place which provided information about how to support people in a safe manner.

Checks were carried out to help ensure the premises were safe.

The service had enough staff to support people in a safe manner and robust staff recruitment procedures were in place.

Medicines and infection control practices were managed in a safe way.

Effective

Good

Updated 22 November 2018

The service was effective. People’s needs were assessed before they started using the service. People and their relatives were involved in this process.

Staff undertook regular training to support them in their role. Staff had regular one to one supervision meetings with a senior member of staff.

The service operated within the principles of the Mental Capacity Act 2005 and people were able to make choices about their care.

People were able to choose what they ate and drank and they told us they had enough to eat.

People were supported to access relevant health care professionals as required.

Caring

Good

Updated 22 November 2018

The service was caring. People told us they were treated with respect by staff and that staff were friendly and caring.

Staff had a good understanding of how to promote people’s dignity, privacy and independence. People’s right to confidentiality was protected.

Responsive

Good

Updated 22 November 2018

The service was responsive. Care plans were in place which set out how to meet people’s assessed needs in a personalised manner. These were subject to regular review.

People were supported to take part in various activities, which in part were provided by outside agencies.

People knew how to make a complaint and complaints had been dealt with in line with established procedures.

The service supported people with end of life care in a dignified and caring manner.

Well-led

Good

Updated 22 November 2018

The service was well-led. The service had a registered manager in place. People and staff told us they found senior staff to be supportive and helpful.

Systems were in place for monitoring the quality of care and support at the service. Some of these included seeking the views of people using the service.