Background to this inspection
Updated
11 March 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 25 February 2021 and was announced.
Updated
11 March 2021
About the service:
Abbey Grove is a residential care home providing personal and accommodation for up to 19 people. The home is owned by Coveleaf Limited
People’s experience of using this service and what we found:
This inspection was carried out on 8 October 2019. At the time of the inspection there were 16 people living at the home.
Some risk assessments were not up to date regarding fire and legionella. This meant any potential risks would not always be identified in a timely way. The registered manager arranged for these to be completed after the inspection.
Medicines were administered safely, however there were no records in place when people’s drinks were thickened because they had swallowing difficulties. A new document to record this was completed immediately during the inspection.
People were supported to have maximum choice and control of their lives, however some best interest and decision specific mental capacity assessments had not been completed where people who lacked capacity were refusing assistance with certain aspects of their care. The registered manager arranged for these to be completed after the inspection.
We have made three recommendations regarding dementia friendly environments, annual reviews and quality assurance systems.
Systems were in place to ensure quality performance was monitored, although these could to be improved to ensure some of the issues from the inspection were identified through the homes own auditing systems.
Staff were recruited safely and there were sufficient numbers of staff working at the home to meet people’s care needs. Systems were in place to safeguard people from abuse and staff were knowledgeable about how to help keep people safe.
Appropriate systems were in place to manage risk relating to people’s skin, mobility and nutritional needs. Staffing levels were sufficient to meet people’s needs and the feedback we received was that there were enough staff to support people safely. The home was clean and generally odour-free. Accidents and incidents were recorded and monitored and processes were in place to learn from these to reduce or prevent recurrence.
Staff received appropriate induction, training and supervision. People were supported to eat and drink enough to maintain a balanced diet and people were complimentary about the food. Staff worked with professionals to support people’s well-being and health.
Observations showed people received kind and considerate care and the feedback we received about the care provided was positive. Staff were attentive to people’s needs. People’s privacy and dignity were respected and promoted.
People received personalised care according to their wishes and preferences. Complaints and concerns were recorded, responded to and monitored. People were supported at their end of life when the time came.
Staff told us they enjoyed working at the home and that team work was a strength, with a positive culture throughout.
People, relatives and staff were involved in what went on at the home and their views were sought through the use of meetings and satisfaction surveys. The home worked in partnership with community organisations as necessary.
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 in March 2017. (published April 2017).
Why we inspected:
This was a planned inspection based on the previous rating and in line with our timescales for re-inspecting services previously rated as Good.
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.