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Reports


Inspection carried out on 3 March 2020

During a routine inspection

About the service

Abington Park View is a residential care home providing personal care for up to 27 people in one adapted building. It specialises in supporting older people, some of whom are living with dementia. At the time of our inspection, there were 24 people living at the home.

People’s experience of using this service

People told us they felt safe with staff and they were treated well. People were protected from abuse and staff were knowledgeable about safeguarding procedures. The management team completed in depth investigations following accidents and incidents to help prevent similar occurrences. People’s medicines were safely managed.

Risk assessments were in place to manage risks within people’s lives, and staff we spoke with had a good knowledge of how to meet people’s needs. There were enough staff to meet people’s needs and staff recruitment procedures ensured that appropriate pre-employment checks were carried out. Staff had access to the support, supervision and training they required to work effectively in their roles.

People’s nutritional needs were monitored, and people were supported to eat and drink well. Healthcare needs were met, and people had access to health professionals as required. Care plans outlined any support people required to manage their healthcare needs.

People's consent was gained before any care was provided. People were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice

Staff were friendly and caring; they treated people with respect and maintained their dignity. Staff encouraged people to maintain their independence. A complaints system was in place and used effectively.

Information could be provided to people in an accessible format to enable them to make decisions about their care and support.

The service had a positive ethos and an open culture. The provider and registered manager were approachable, understood the needs of people, and listened to staff. There were effective systems in place to monitor the quality of the service and drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 26 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 9 August 2017

During a routine inspection

This unannounced inspection took place on 9 August 2017.

The service is registered to provide accommodation with personal care for older adults with a range of needs including dementia care needs. There were 23 people using the service when we inspected, including one person receiving treatment in hospital.

At the last inspection on 27 May 2015, the service was rated 'Good'. At this inspection we found the service remained 'Good'.

There was a registered manager in post when we inspected. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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. We were informed by the provider that the registered manager had recently decided to leave and were going to apply to voluntarily cancel their registration with the Care Quality Commission (CQC). The provider was already proactively recruiting to this post and the successful applicant will apply to register with CQC once appointed.

People’s needs continued to be safely met. People’s needs were assessed prior to taking up the service and their agreed care plans reflected people’s individual needs and preferences in relation to the care provided. Assessments were in place and appropriately acted upon to reduce and manage the risks to people’s health and welfare. Staff had received training to provide them with the skills and knowledge they needed to provide people with safe care. There were sufficient numbers of staff available to meet people’s needs in a timely way.

Staff recruitment processes protected people from being cared for by unsuitable staff and all new staff completed a thorough induction training programme. Staff understood the importance of protecting people from abuse and avoidable harm. They knew what action they needed to take to report any concerns about people’s safety or well-being.

People’s support was provided by a staff team that were caring, friendly, and responsive to people’s changing needs. People were treated with dignity and their right to make choices about how they preferred their care to be provided was respected. People’s rights were protected.

People were supported to eat a healthy diet and to have access to health services in the community to improve their health and well-being. Staff ensured that people that required support to manage their medicines received their medicines as prescribed. The staff followed the advice of healthcare professionals in meeting people’s needs.

People benefitted from a service that was appropriately managed by the person in charge so that they received their service in a timely and reliable way. People knew how to raise concerns and complaints and the provider had appropriate policies and procedures in place to manage such eventualities.

People’s views about the quality of their service were sought and acted upon. There were systems in place to assess and monitor the on-going quality of the service.

Inspection carried out on 27 and 28 May 2015

During a routine inspection

This unannounced inspection took place on the 27 and 28 May 2015.

Abington Park View accommodates and provides care for up to 26 older people, most of whom have dementia care needs. There were 21 people in residence during this inspection.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 assured that there were sufficient numbers of staff that had acquired the skills they needed through training and experience to meet their needs. Recruitment procedures were robust and protected people from the poor practice of unsuitable staff compromising their safety.

People benefitted from receiving care from staff that understood their duties and carried them out efficiently. Their manner was friendly and they encouraged people to retain as much independence as their capabilities allowed.

People’s care plans reflected their individuality and their needs were regularly reviewed. People benefited from receiving care from staff that listened to and acted upon what they said, including the views of their relatives, friends, or significant others. There were spontaneous as well as regularly organised activities to stimulate people’s interest.

People’s healthcare needs were met. Community based healthcare professionals were appropriately consulted and their advice and prescribed treatments acted upon, to help sustain people’s health and wellbeing.

People enjoyed their food. They enjoyed a varied and balanced diet to meet their nutritional needs. Meal portions suited people’s appetites and choices of food suited people’s individual preferences and tastes. Snacks were readily available. People who needed support with eating or drinking received the help they required.

People’s medicines were securely stored and there were suitable arrangements for the disposal of discontinued medicines. Medicines were competently administered by staff in a timely way.

People and their representatives knew how and who to complain to. They were assured that they would be listened to and that appropriate remedial action would be taken to try to resolve matters to their satisfaction.

People’s quality of care was effectively monitored by the audits regularly conducted by the registered manager and the provider. They benefitted from receiving care from staff that were supported and encouraged by the provider and the registered manager to do a good job caring for older people.

Inspection carried out on 19 April 2013

During a routine inspection

We spoke with several people who lived at Abington Park View. They told us that they were happy living at the home. Two people told us that they had meetings with staff and talked about activities, and changes that were happening in the home. People told us that the staff were very nice. One person said, �They talk and listen to me and help me to get washed and dressed�. They also told us that the staff did activities with them and they enjoyed this. Another person said, �I keep my room clean and I take my own medication�.

People told us that they knew how to make a complaint to the provider if they had any concerns. However they told us that they had no complaints and they liked living at the home. They also told us that the food was very good and they had a choice of meals. A relative told us that they noticed that the staff were very attentive when assisting people at lunch time. Another relative told us the staff were very caring and spoke to them and their family member in a dignified manner. They also said that the new provider had made lots of changes to the environment to make the place look homely.

Inspection carried out on 28 December 2012

During an inspection in response to concerns

People we spoke with told us that the staff spoke to them in a kind manner and respected their privacy and dignity by knocking on their door before they entered their room. They also told us that they felt safe living at the home and most of them were happy with their care.

Some of the people we spoke with told us that �the food is good�. They also told us that the staff were �good and very caring� and helped them with their personal care needs.

We spoke to two relatives of people living at the home and they told us that the new providers had put a lot of work in the home by decorating the place. They said the place was �looking very homely and comfortable and they had fixed all the radiators�. They told us that they found the provider of the home listened to them.

However, we found that there were not enough staff to meet the needs of people in the home on the day of the site visit. We also found that not all staff had received up to date training to meet people�s needs. We found that information about incidents that happened in the home was not always being recorded. We were therefore unable to find out what action had been put in place by the provider to keep people safe.