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Inspection Summary


Overall summary & rating

Good

Updated 6 October 2018

Abbeyfield House is based in Gatley, Stockport and is part of Caritas Services Limited. The home provides personal and nursing care for a maximum of seven people with physical or learning disabilities. At the time of the inspection there were seven people living at the home.

At our last inspection in March 2016 we rated the service Good overall. At that inspection we found one breach of the Health and Social Care Act (HSCA) 2008 (Regulated Activities) Regulations 2014. This was because two people's risk assessments had not been reviewed in accordance with providers stated frequency and there was no trends analysis of accidents and incidents.

Following the last inspection, we asked the provider to complete an action plan to tell us what they intended to do and by when to improve the key question; is the service effective to at least good. At this inspection, we found that required improvements had been made.

We found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good overall.

Why the service is rated good.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Care records were detailed and person centred. They identified what was important to and for the person.

People were safe because there were effective risk assessments in place, and systems to keep them safe from abuse or avoidable harm. Risk assessments were person centred and gave guidance to people and staff on how risks could be minimised and managed whilst promoting people’s independence and opportunity’s. Risk assessment had been reviewed regularly and updated if people’s needs had changed.

Accidents and incidents were monitored. These records were analysed each month so that they could review the action taken and identify any patterns or lessons that could be learned to prevent future occurrences.

People were supported by staff who knew them very well. People’s individual communication styles were respected, this included using body language, signs, photographs and pictorial prompts.

Staff received the training and support they needed to carry out their roles effectively. Staff members had been safely recruited and there were sufficient numbers of staff to provide people with the person-centred support they needed.

The service has a registered manager. 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. People were very positive about the registered manager and the way the home was run. We found the registered manager to be passionately committed to providing responsive, person-centred support to people. All the staff we spoke with shared this commitment and enthusiasm.

Medicines were managed safely and people were supported to ensure their health needs were met.

The service had detailed guidance for staff on how to support people when they showed behaviour that challenged the service. Records contained information about what may make someone upset or angry and guided staff in how to respond, what to say and what to do to help the person and diffuse situations.

Health and safety checks had been carried out and there was a programme of regular maintenance to the bui

Inspection areas

Safe

Good

Updated 6 October 2018

The service was Safe.

Risk assessments were in place that guided staff on how to to promote people's safety and independence. They had been reviewed regularly.

Accidents and incidents were monitored and action taken to reduce any risk.

Safe systems were also in place with regards to infection control procedures, the management of medicines as well as protecting people from the risk of harm or abuse.

Effective

Good

Updated 6 October 2018

The service remains Good.

Caring

Good

Updated 6 October 2018

The service remains Good.

Responsive

Good

Updated 6 October 2018

The service remains Good.

Well-led

Good

Updated 6 October 2018

The service remains Good.