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Abbeydale Residential Care Home Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 19 October 2018

Abbeydale Residential 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. This service provides accommodation and personal care for up to 36 older people. On the day of our inspection there were 32 people living at the service. Bedrooms are spread over three floors and most have en-suite bathrooms. There are also several communal areas and a large private garden. The home is situated in the town of Ilkley.

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.

The inspection took place on 21 May 2018 and was unannounced.

At our last inspection we rated the service good. However the safe domain was rated requires improvement because we found that medicines were not always managed in a safe way. At this inspection we found improvements had been made to the way medicines were managed which means the safe domain is now rated as good. We also saw strong evidence to demonstrate that the entire staff team had worked exceptionally hard to ensure they continuously built upon the good standards we saw at our last inspection. The quality of care provided was exceptionally high and truly personalised. We also saw the leadership was extremely proactive, highly responsive to the needs of people and consistently true to their strong vision and values. We therefore concluded that the service had improved to meet the distinctive and exceptional characteristics of an outstanding service in the caring, responsive and well led domains.

People were cared for by staff who were extremely kind, highly compassionate and dedicated to ensuring people received an outstanding quality of care. Staff had an excellent attention to detail and took simple but effective actions to ensure people received a very high standard of personalised care.

Staff developed exceptionally positive caring and compassionate relationships with people which enabled them to be highly attentive to people’s needs. They found creative ways to support people to live a full and independent life. Staff’s highly dedicated approach was reinforced by robust training and technical expertise.

People were genuinely at the heart of the service. The philosophy of care was very inclusive. People were actively consulted and involved in the day to day running of the service and their needs and preferences shaped care delivery. Without exception, people told us that staff listened to their views and made them feel that their opinions mattered.

Staff had the utmost respect for the people they cared for and took great care to ensure people’s dignity and privacy was consistently maintained.

The provider, registered manager and all staff worked extremely hard to promote a welcoming, relaxed, and calm atmosphere in the home. They ensured everyone who lived at the service or who visited was made to feel part of the ‘Abbeydale family.’

The end of life care ethos at the home was one of exceptionally sensitivity, compassion and empathy.

The service had a strong vision and effective values. They had a clear philosophy of care which was centred around ‘Excellence comes as standard.’ Staff at every level were fully committed to ensuring they were true to their values and this ethos in every aspect of their work.

The registered manager had extremely high standards and was highly proactive. They worked in partnership with other organisations and utilised best practice to positively enhance staff practices and further improve care quality. Our observations and discussions with peopl

Inspection areas

Safe

Good

Updated 19 October 2018

The service was safe.

Medicines were managed safely.

Staff had a proactive and personalised approach to risk management. People were protected from the risk of abuse.

Staff were recruited safely and there were sufficient staff to meet peoples� needs.

The home was cleaned and maintained to a high standard. Overall, the environment was safely maintained.

Effective

Good

Updated 19 October 2018

The service was effective.

Staff sought people�s consent and worked in line with the requirements of relevant legislation such as the Deprivation of Liberty Safeguards (DoLS).

Staff were skilled, knowledgeable and received effective training and development.

People�s healthcare and nutritional needs were met.

People told us the quality and variety of food and drink was excellent.

Caring

Outstanding

Updated 19 October 2018

The service was exceptionally caring.

People received exceptionally high quality personalised care.

Staff were extremely kind, highly compassionate and dedicated to delivering an outstanding quality of care.

Staff were highly attentive to people�s needs and used innovative approaches to support people to live a full and independent life.

The philosophy of care was exceptionally inclusive; peoples� views were sought and respected.

Responsive

Outstanding

Updated 19 October 2018

The service was highly responsive.

People told us the service was highly responsive to their needs.

Staff used innovative approaches and involvement to ensure the care they delivered was truly person centred.

The end of life care ethos was one of exceptional sensitivity, compassion and empathy.

Activities were inclusive, highly personalised and meaningful.

People told us staff made them feel valued and that their opinion mattered.

Well-led

Outstanding

Updated 19 October 2018

The service was exceptionally well led.

The service had a strong philosophy of care, vision and values. Staff at every level were committed to ensure they were true to them in every aspect of their work.

The registered manager had exceptionally high standards and was highly effective in managing the service.

Governance systems were focused upon continuous improvement and ensuring effective outcomes for people.

People provided exceptionally positive feedback about the quality of care they received and told us that no improvements were needed to the service.