CQC report explained · a residential care home
What the CQC found at Abbeydale Residential Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed through PPE, testing, cleaning, social distancing, safe admissions and visitor controls.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Outstanding
- Are people treated with kindness and dignity?
- Responsive?
- Outstanding
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Outstanding
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, March 2021
Abbeydale Residential Care Home was rated Outstanding; inspectors found strong infection control, but Safe was inspected without a new rating.
This was an announced, targeted inspection on 17 February 2021. It focused on infection prevention and control during the coronavirus pandemic.
Inspectors were assured that the home was preventing infections from spreading. They found effective use of protective equipment, testing, cleaning, social distancing and safe admissions.
The home had measures for deliveries, staff clothing and personal belongings. It had also created two heated garden pods so relatives and friends could visit safely.
The overall service rating was Outstanding. However, Safe was inspected but not rated, so this visit did not give a new rating for that question.
Infection prevention
The home had detailed arrangements for deliveries, staff belongings, cleaning and protective equipment to reduce the spread of infection.
“Every item delivered to the service such as post, food deliveries and family parcels were placed in an outside 'delivery' area to undergo a full decontamination process” from the report
Protective equipment
Staff were supplied with protective equipment and uniforms that were cleaned daily. Extra equipment was also provided for communal areas and people's rooms.
“Staff personal protective equipment (PPE) and uniforms were supplied and cleaned daily by the provider” from the report
Family visiting
Two heated garden pods had been created to support visits while having risk assessments and policies in place.
“Two garden pods had been designed and built during lockdown, each had a warm and welcoming ambience with heating” from the report
Infection control checks
Inspectors were assured across the areas they checked, including visitor safety, testing, hygiene, outbreak management and the infection control policy.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are deliveries and family parcels currently handled before they enter the home?
- 02How are staff uniforms, protective equipment and hand sanitiser supplied and checked?
- 03What testing arrangements are currently in place for residents and staff?
- 04How are visits arranged, and are the garden pods or other visiting arrangements still available?
- 05How often are high-touch areas cleaned and deep cleans carried out?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; Safe was inspected but not rated and the report does not give new ratings for the other questions. This explanation was written from the published report of 9 March 2021 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.
What inspectors found, October 2018
Abbeydale Residential Care Home was rated Outstanding; inspectors found exceptionally kind, personalised care, with minor improvements needed to fire and fluid monitoring.
Inspectors visited without warning on 21 May 2018. They spoke with people living in the home, relatives, visitors, staff and health professionals. They reviewed care plans, medicine records, recruitment files, audits and maintenance records, and toured the building.
The overall rating was Outstanding. Caring, responsive and well-led were rated Outstanding. Safe and effective were rated Good. Inspectors found that people received highly personalised care, were treated with dignity and had their views respected.
Medicines were managed more safely than at the previous inspection, when this area needed improvement. Staffing, food, health support, training and activities were also found to be good or better.
There were two follow-up points. A more comprehensive fire risk assessment was needed, and one fluid monitoring chart did not include a daily target. The manager said action would be taken on both points.
Kind and personal care
Staff built warm relationships and noticed small details that mattered to people. Care was adapted to individual preferences and abilities.
“People were cared for by staff who were extremely kind, highly compassionate and dedicated to ensuring people received an outstanding quality of care.” from the report
Choice and independence
People were involved in daily decisions and supported to take positive risks safely. Staff found creative ways to help people stay independent.
“Staff fully supported people to maintain and develop the confidence and skills to live a full and independent life.” from the report
Activities and outings
The home offered varied activities and regular trips. These were shaped around people's interests, abilities and preferred times.
“There was an excellent range of activities available to people.” from the report
Leadership and improvement
The management team had clear values and used feedback, consultants and reviews to improve care. Staff spoke positively about working there.
“Governance systems were focused upon continuous improvement and ensuring effective outcomes for people.” from the report
Improved medicines management
The previous inspection found medicines were not always managed safely. Inspectors found that records, storage and guidance had improved at this inspection.
“At this inspection we found improvements had been made to the way medicines were managed which means the safe domain is now rated as good.” from the report
Fire risk assessment
needs fixingInspectors said the fire risk assessment needed to be more comprehensive. The manager arranged for this to be completed.
“However, a more comprehensive fire risk assessment was required. The registered manager arranged for this to be completed.” from the report
Fluid monitoring target
needs fixingOne person at risk of dehydration had their fluids recorded, but the chart did not state how much they should drink each day. The manager said personalised targets would be set.
“However there was no daily fluid target on the monitoring chart so that staff were aware how much fluid the person should be aiming for each day.” from the report
- 01Has the more comprehensive fire risk assessment been completed, and were any further actions identified?
- 02How are daily fluid targets now set and checked for people at risk of dehydration?
- 03How will you support my relative to stay independent while managing any risks safely?
- 04How are activities and outings matched to my relative's interests, mobility and communication needs?
- 05How will you keep us informed if my relative's health needs change or they need hospital treatment?
This was an unannounced inspection covering all five CQC questions and the overall quality of the service. This explanation was written from the published report of 19 October 2018 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 report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Abbeydale Residential Care Home
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- March 2021Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Abbeydale Residential Care Home →
- October 2018Outstandingup from Good
Read what inspectors found at Abbeydale Residential Care Home →
- January 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 12 April 2011.
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.
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