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Reports


Inspection carried out on 1 December 2020

During an inspection looking at part of the service

About the service

Abbey Rose Care Home is a care home providing personal care and accommodation for up to 85 people who are frail or are living with dementia. On the day of the inspection, 76 people were receiving support. The service was delivered across three floors with a lounge and dining room on each floor. People had access to an en-suite bathroom and an outdoor area.

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

The registered manager knew of their responsibility to notify CQC of incidents of concern, however there was some delay where people had an authorised deprivation of liberty. They took immediate action to address this and improve their systems. People and relatives were happy with the way the service was led and were able to raise concerns. People and relatives told us support was individualised and they were involved in decisions. Audits were carried out to ensure the quality of the service was maintained.

People and relatives told us safe care was provided and staff had good knowledge of people’s needs. Medicines were managed safely. The provider had a robust recruitment process in place and there were enough staff to meet people's needs. People and relatives told us there were good infection control measures in place and our observations confirmed this. Action was taken quickly to improve the quality of care when incidents were identified and learning was shared with the staff team.

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 02 April 2020).

Why we inspected

The inspection was prompted in part due to concerns received about the quality of care provided at night and staff feeling unsupported and unable to raise concerns. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same, good. This is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Abbey Rose Care Home on our website at www.cqc.org.uk.

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 10 March 2020

During a routine inspection

About the service:

Abbey Rose Care Home is a care home providing personal care and accommodation for up to 85 people who are frail or are living with dementia. On the day of the inspection, 70 people were receiving support. The service was delivered across three floors with a lounge and dining room on each floor. People had access to an ensuite bathroom and an outdoor area.

People’s experience of using this service:

People told us they received safe care and staff knew what to do when people were at risk of harm. There were enough staff to keep them safe. Recruitment systems were in place to ensure only appropriate staff were appointed. Medicines were administered as they were prescribed. Processes were in place to limit the risk of infections and staff had access to personal protective equipment. Risks to people were assessed and managed and where accidents and incidents took place, trends were monitored.

Staff had the skills and knowledge needed to support people how they wanted. 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 drinks on a regular basis and decided what they had to eat. People had access to health care when needed.

People received support from staff who were caring and kind. People were involved in deciding how staff supported them. Privacy, dignity and independence was promoted within the service.

Assessments were carried to ensure the provider could meet people’s needs. The provider supported people to keep in contact with relatives and an activity program supported people’s interests. There was a complaints process in place which people used to raise concerns.

The recently appointed registered manager had a good understanding of the service and had plans in place to improve the service further. Relatives told us communication was good and they were kept up to date on any changes. Spot checks and audits were carried out to ensure the quality of the service was maintained. The provider used questionnaires and a range of other methods to engage with people and the information gathered was analysed and shared with people to improve the service.

Rating at last inspection:

This service was registered with us on 20/03/2019 and this is the first inspection.

Why we inspected:

This was a planned comprehensive inspection.

Follow up:

We will continue to monitor the service through the information we receive until we return to visit 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