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CQC report explained · a residential care home

What the CQC found at Abbey House

Outstandingpublished 16 February 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding arrangements, safe recruitment, enough staff and clear risk assessments. Medicines were safely managed, including a new programme to support people to self-administer medicines.
Effective?
Good
Staff had relevant training, supervision and appraisals. People's health, nutrition, rights and best-interest decisions were supported, although some capacity-record wording was unclear and was corrected during the inspection.
Caring?
Outstanding
Staff built trusting relationships and treated people with dignity and respect. They used creative communication methods and provided very personalised, compassionate support.
Responsive?
Outstanding
People helped shape their care plans and activities. The home supported independence, education, work placements, hobbies, friendships and involvement in the local community.
Well-led?
Outstanding
Inspectors found strong leadership, an open culture and robust quality checks. People, relatives and staff were regularly asked for their views, and feedback led to changes.
The latest report, explained

What inspectors found, February 2019

Rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.

This was an unannounced, comprehensive inspection on 5 December 2018. Inspectors observed care, spoke with people, relatives, staff and professionals, and checked care records, medicines, staffing, recruitment and quality checks. A dental inspector also reviewed oral health support.

The home was rated Outstanding overall. Caring, Responsive and Well-led were Outstanding. Safe and Effective were Good. Inspectors found kind, respectful support, strong communication, good safeguarding and medicines arrangements, enough trained staff, and effective support for health, nutrition and independence.

The home had improved from an overall Good rating at the previous inspection in January 2016. Inspectors noted that the home was registered for up to 13 people and was a more congregate setting than later best-practice guidance recommends, but it had been registered before that guidance was introduced.

What inspectors praised
  • Kind and respectful care

    Staff built close, trusting relationships and supported people in a compassionate way. Inspectors saw a strong culture of dignity, equality and inclusion.

    “The genuinely caring and inclusive culture at the service was outstanding.” from the report
  • Independence and confidence

    People were supported to develop everyday skills, travel more independently and work towards personal goals. Positive risk-taking was used to help people lead fuller lives.

    “The support people received stretched, challenged and motivated them.” from the report
  • Communication

    Staff adapted communication to each person's needs, using pictures, photographs, signs, electronic devices and other tools.

    “Staff used creative communication methods to engage with people to support them to express their views and make choices.” from the report
  • Community opportunities

    People took part in education, work placements, voluntary work, sports, social activities and local groups linked to their interests.

    “Very strong links were established with local networks and organisations.” from the report
  • Strong leadership

    The home had an experienced manager, an open culture and systems that checked quality and acted on shortfalls. Staff said they felt valued and supported.

    “The service was exceptionally well-led.” from the report
What inspectors were concerned about
  • Clarity of some records

    minor

    Some wording in mental capacity records was unclear. The report says this was addressed during the inspection.

    “We noted the wording on some records was not clear and this was addressed during the inspection.” from the report
Questions to ask them, based on this report
  1. 01How would you support my relative to build independence while managing their specific risks?
  2. 02How would you help my relative communicate their choices, worries and consent?
  3. 03How does the five-stage medicines self-administration programme work, and what level of support would my relative receive?
  4. 04How would you involve my relative and our family in care planning, reviews and decisions about future placements?
  5. 05How would you support my relative to take part in college, work, leisure and community activities?

This was an unannounced comprehensive inspection covering all five key questions, with a dental inspector also reviewing oral health support. This explanation was written from the published report of 16 February 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Abbey House

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. February 2019Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Abbey House →

  2. June 2016Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 15 November 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

12 live-in carers within about an hour of North East Lincolnshire

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,350 a week. 10 can care for a couple. 7 years' experience on average.

“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
Lucy K., about Emma H.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
Julie V., about Martin G.
See live-in carers near North East LincolnshireProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.