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Abbeyfield Malmesbury Care at Home Good

Inspection Summary

Overall summary & rating


Updated 20 November 2019

Abbeyfield Malmesbury Care at Home is a care agency that provides care and support to people who live at Burnham Court, a housing complex. There are 49 apartments within the complex and at the time of our inspection a care and support service was provided to 20 people.

People’s experience of using this service and what we found

Improvements had been made to the management of risk, and medicines were managed safely. Staff were aware of their responsibilities to identify and report a suspicion or allegation of abuse. There were staffing vacancies and some people were being supported by agency staff. Attention was being given to the recruitment of new staff, and safe recruitment practices were being followed.

People were supported by staff who were valued and well trained. People were assisted to have enough to eat and drink. Staff supported people to access healthcare services as required. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were complimentary about the quality of staff. Staff treated people with care and compassion and systems were in place to monitor this. People were encouraged to make decisions about their support and their privacy and dignity was promoted.

The service was responsive to people’s needs. The times of people’s support had been discussed with them and formalised, so all support was now at set times. Improvements had been made to people’s support plans. The information was detailed and reflected people’s needs. The service was able to provide end of life care but at the time of the inspection, no one required this. People knew how to make a complaint.

Improvements had been made to the quality auditing systems, so they were more effective. There was a positive ethos, which focused on independent living. Recent changes had been introduced to people’s visits and they now had a designated time, unless it was an emergency. Previously people were supported when they requested assistance. The registered manager was working with people to adjust to these changes. There was a commitment to continually improve and the service worked well in partnership with others.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 18 October 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Abbeyfield Malmesbury Care at Home on our website at

Inspection areas



Updated 20 November 2019

The service was safe.

Details are in our safe findings below.



Updated 20 November 2019

The service was effective.

Details are in our effective findings below.



Updated 20 November 2019

The service was caring.

Details are in our caring findings below.



Updated 20 November 2019

The service was responsive.

Details are in our responsive findings below.



Updated 20 November 2019

The service was well-led.

Details are in our well-led findings below.