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CQC report explained · a residential care home

What the CQC found at Abbeyfield House

Goodpublished 23 June 2021, 5 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People had risk assessments, trained staff and suitable safeguarding arrangements. Medicines and infection control were managed safely, although prescribed creams were not always clearly labelled with when they had been opened.
Effective?
Good
People's care was based on assessed needs and preferences. They were supported with health appointments, suitable diets, staff training and decisions made in their best interests.
Caring?
Good
Inspectors observed positive interactions and found that people were treated with dignity and respect. People were involved in decisions, activities and the running of the home.
Responsive?
Good
Care plans reflected people's communication needs, preferences and changing needs. People chose activities and how to spend their time, but complaint records did not always show what action had been taken.
Well-led?
Good
The home had audits, regular feedback and systems for reviewing care quality. Feedback about communication was mixed, with some staff reporting inconsistencies between team members.
The latest report, explained

What inspectors found, June 2021

Abbeyfield House rated Good; inspectors found safe, kind and person-centred care, with minor record-keeping issues.

This was the home’s first inspection since it registered in 2019. The inspection took place over 18, 20 and 21 May 2021. One inspector spoke with all four people living there, relatives and staff, observed care and checked care, medicines, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, received their medicines safely and had enough staff to meet their needs. Infection control arrangements were also suitable during the COVID-19 pandemic.

People were supported to make choices, stay independent and access health care. Inspectors saw kind and respectful relationships. Care plans reflected people's preferences, communication needs and risks, and the home offered activities chosen by the people living there.

There were some small weaknesses. Prescribed creams were not always marked with their opening dates, some complaint records did not show the action taken, and some staff reported inconsistent communication. The manager said these issues would be addressed.

What inspectors praised
  • People were kept safe

    Staff understood people's risks and how to respond. Incidents were reviewed, and the home changed its approach when it identified a trigger for distress.

    “analysis of a period of incidents had identified a specific trigger that was causing a person distress.” from the report
  • Respectful, person-centred care

    People were treated with dignity and supported to make choices. Staff encouraged independence in everyday tasks such as shopping, preparing meals and cleaning rooms.

    “People were supported to express their views and were treated with dignity and respect.” from the report
  • Good health support

    People had health action plans and were supported to attend medical and dental appointments. Staff worked with health professionals and reduced some behaviour-related medicines.

    “People were supported to access healthcare services which had resulted in people experiencing healthier lives.” from the report
  • Activities and communication

    People chose activities and how to spend their time. Information such as complaints procedures and fire evacuation plans was available in accessible formats.

    “People had individual weekly plans for activities they were involved in choosing.” from the report
What inspectors were concerned about
  • Cream labels

    needs fixing

    Some prescribed creams did not clearly show when they had been opened. This made it harder for staff to know when they would expire, although the manager took immediate action.

    “people's prescribed creams were not always clearly labelled to detail when they had been opened.” from the report
  • Complaint records

    minor

    The home had a complaints process, but records did not always explain what action had been taken after concerns were raised.

    “However, records didn't always detail the actions taken.” from the report
  • Staff communication

    minor

    Feedback was mixed. Some staff said communication between team members was inconsistent, although the process for raising issues had recently been reviewed.

    “some staff had experienced inconsistencies in communication between team members.” from the report
Questions to ask them, based on this report
  1. 01How do you now label prescribed creams, including recording when each cream was opened?
  2. 02How are concerns and complaints recorded, including the action taken and the outcome?
  3. 03What changes have been made to improve communication between staff members?
  4. 04What activities and community opportunities are currently available to people?
  5. 05How will my relative be involved in care reviews and decisions about their support?

This was the first comprehensive inspection and covered all five ratings, including infection prevention and control; the provider could not complete its Provider Information Return because of technical problems. This explanation was written from the published report of 23 June 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.

The story over the years

Every inspection of Abbeyfield House

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. June 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Abbeyfield House →

  2. April 2019

    Registered with the Care Quality Commission on 15 April 2019.

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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