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Inspection Summary


Overall summary & rating

Outstanding

Updated 18 October 2018

Abbeymead Lodge is a ‘care home’. People in care homes receive accommodation and 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. There were eight people living at the home at the time of our inspection. 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.

At our last inspection we rated the service good. At this inspection we found the evidence that the service had progressed in developing people’s personal growth and empowerment. The management continually demonstrated how they reviewed their systems and care practices to ensure people received high quality care. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. At this inspection we found the service improved to outstanding.

Why the service is rated Outstanding:

Feedback from people’s relatives was overwhelmingly positive. They complimented the caring nature of staff and felt that the service was well-led. They praised the approach of staff and stated that they felt their relatives were safe living at Abbeymead Lodge. The strong leadership team ensured that the values and vision of the service were embedded in the care practices of staff. The management team had strong emphasis on driving improvement and improving the quality of people’s lives. All health care professionals who contacted CQC about the service acknowledged the consistent dedication and approach of staff.

People’s needs had been assessed and their support requirements and preferences were recorded in detail to provide staff with the guidance they needed to support people. Staff had a continuous approach and a healthy balance of supporting people to understand the potential risks linked with their activities such as being in the community independently without being risk averse or impacting people’s confidence and anxiety about being independent. People were continually reassured and praised for their achievements. The staff approach focused on people’s individual needs and how to maximise their potential and personal growth. Staff used innovative ways to obtain people’s consent to care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to maintain relationships with people who were important to them. Staff ensured people’s human rights and diverse needs were supported.

Effective systems were in place to manage people’s medicines so that they received them safely and on time. People were supported to access health care services and to maintain a healthy lifestyle. Health care professionals complimented the responsiveness and caring nature of staff.

Sufficient numbers of staff were available to ensure people’s well-being and for them to safely be involved in activities. New staff were suitably vetted and trained before they supported people. Staff had a good understanding of people’s needs and had been trained to carry out their role. Staff consistently praised the support they received from the management team. They told us they felt supported and trained and had access to the information they needed to support people. They understood their responsibility to report concerns and poor practices.

The service had an open and progressive culture to improve the quality of lives for people. The focus of the home was to ensure that people’s individual and diverse needs and their human rights were valued and respected and at the centre of the care being delivered. Systems

Inspection areas

Safe

Good

Updated 18 October 2018

The service remains Good.

Effective

Outstanding

Updated 18 October 2018

The service remains Outstanding.

Caring

Good

Updated 18 October 2018

The service remains Good.

Responsive

Outstanding

Updated 18 October 2018

The service has improved to Outstanding

There was clear evidence that people received personalised care in innovative ways which empowered people to personally develop in their well-being and independence.

People had been consulted and their views were valued.

Staff had an exceptional understanding of people�s needs which was complimented by health care professionals.

Processes were in place to ensure people would receive care which was dignified and compassionate at the end of their life.

Systems were in place to address the concerns of people and their relatives.

Well-led

Outstanding

Updated 18 October 2018

The service has improved to Outstanding.

The managers had demonstrated innovative ways of empowering people to become more independent and be involved in the management of their care and the running of the home.

The culture of the home was to drive improvement and learn from mistakes. There was evidence of consistent robust quality monitoring and feedback from people and stakeholders to ensure people received high quality care.

The leadership of the home was strong which provided staff with a role model of excellent care practices.