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Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 July 2019

About the service: Abbey Place provides residential care for up to 38 older people who may also be living with dementia. At the time of our inspection there were 36 people living at the home.

People’s experience of using this service:

People did not always receive a service that provided them with safe and effective care. Some records and stock levels related to medicines management were not always well maintained. Records related to people’s potential risks were not always detailed. Some infection control practices required strengthening. The provider had a quality assurance system in place, but this was not always effective. For example, in relation to record keeping.

Staff had received appropriate induction, had completed mandatory training and supervision was conducted. However, appraisals had not been completed recently. Staffing numbers were sufficient on both days of the inspection and the provider followed safe recruitment procedures. Staff understood how to identify and report any safeguarding concerns.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People had access to a range of activities and the provider worked with other organisations, to meet people’s needs. The home provided a dementia friendly environment. There was easy access to the garden area which had a ‘village’ feel with many stimulating features.

People and their relatives told us they were happy with the service provided. People’s dignity and privacy were respected, and staff supported people to remain as independent as possible. Staff understood the importance of providing person-centred care and had developed positive relationships with people. Care plans were mostly person-centred and had been updated and reviewed to ensure they reflected people’s current needs.

People received enough to eat and drink and were supported to use and access other healthcare professionals. The culture of the service was open, and people felt able to raise any issues. People and relatives had the opportunity to provide feedback on the service received and there was a system to respond to any complaints.

Rating at last inspection: At the last inspection the service was rated Good (report published 5 December 2016). The rating has deteriorated to Requires Improvement at this inspection.

Why we inspected: This was a planned inspection based on when the service was registered with the Care Quality Commission.

Enforcement: We identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 namely 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 the service through information we receive. Further inspections will be planned for future dates as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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 4 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 4 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 4 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 4 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 4 July 2019

The service was not always well-led.

Details are in our Well-Led findings below.