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CQC report explained · a residential care home

What the CQC found at Abbeyfield Silverdale & District Society Limited

Goodpublished 31 May 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention measures, including visitors, distancing, admissions, PPE, testing, outbreak management and the infection control policy. They said additional equipment might help reduce infection risks.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, May 2021

Abbeyfield Silverdale & District Society Limited was inspected but not rated; inspectors found strong infection control, with some equipment improvements suggested.

This was an announced, targeted inspection on 13 April 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full range of care quality.

Inspectors were assured that the home managed visitors, distancing, admissions, protective equipment, testing, outbreaks and infection control policies safely. The home was clean and uncluttered, and staff had infection control training.

People were supported to keep in touch with relatives using tablets, telephones and visiting facilities. They were also supported with health advice and vaccination decisions.

The service was inspected but not rated. This means the report does not give an overall rating or a standard quality rating for each of the five areas of care.

What inspectors praised
  • Staff training

    Staff had access to detailed infection control training and said they felt confident using what they had learned.

    “The registered manager had ensured staff could access comprehensive and informative training in various aspects of infection control.” from the report
  • Clean environment

    The home was clean and uncluttered, with checks and audits to identify and act on any cleaning issues.

    “The environment and equipment had been arranged to minimise the risk of infection and was clean and clutter free.” from the report
  • Testing and vaccination

    People and staff were tested regularly for COVID-19. The home supported people to decide whether to take part in vaccination, with best-interest discussions planned where needed.

    “People and staff were taking part in the vaccination programme.” from the report
  • Contact with relatives

    The home supported people to stay in contact with loved ones using electronic devices and had facilities for face-to-face visits.

    “Staff supported people to use electronic tablets and telephones to maintain contact with loved ones.” from the report
What inspectors were concerned about
  • Further equipment may be needed

    minor

    Inspectors thought additional equipment could help reduce the risk of infection spreading. They signposted the home to resources, but the report does not say whether the equipment was later provided.

    “We noted additional equipment may be beneficial to reduce the risk and spread of infection and have signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What additional equipment did inspectors think would be beneficial, and has it now been provided?
  2. 02How does the home currently check visitors and manage the risk of infection spreading?
  3. 03How are people supported to keep in touch with relatives, including face-to-face visits?
  4. 04How are vaccination decisions recorded when a person cannot make the decision themselves?
  5. 05How often are people and staff tested, and how are positive results or outbreaks managed?

This was an announced, targeted inspection of infection prevention and control only; the service was inspected but not rated and the report does not provide a full assessment of the other areas of care. This explanation was written from the published report of 6 May 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.

An earlier report, explained

What inspectors found, May 2018

Abbeyfield Silverdale & District Society Limited was rated Good; inspectors found kind, safe care, with some records and quality checks needing improvement.

Inspectors visited on 17 and 23 April 2018. The first visit was unannounced. They spoke with people using the home, relatives, staff, the manager and the provider. They also observed care and checked care records, medicines, recruitment, training and safety records.

The home was supporting 21 people, with space for up to 22. Inspectors found people felt safe and were treated with kindness and respect. Medicines were given safely, staffing was considered sufficient, meals met people's choices, and people could access healthcare and activities.

The home was introducing electronic care records. One record needed updating, and some computer-generated information was not personal enough. Some quality checks and investigations were also not recorded fully. The inspectors made recommendations about improving these records and checks.

The overall rating was Good, as were the ratings for Safe, Effective, Caring, Responsive and Well-led. The rating remained Good from the previous inspection in April 2016.

What inspectors praised
  • Kind and respectful staff

    Inspectors saw warm relationships between staff and people. Privacy and dignity were respected during personal care.

    “All the staff are exceptionally kind and gentle.” from the report
  • Safe medicines and staffing

    Medicines were administered correctly in the sample checked. People, relatives and staff said there were enough staff to provide help promptly.

    “We observed medicines being administered and found people were supported to take their medicines and records were completed at the time of administration.” from the report
  • Choice and involvement

    People were involved in decisions about their care and could choose what and where to eat. Relatives said they were included when decisions were needed.

    “We saw consent was sought before care and support was given.” from the report
  • Activities and personal support

    People were offered activities that interested them, including yoga and creative activities. Care plans included individual mobility, safety and communication needs.

    “This demonstrated people were supported to take part in activities that were meaningful to them to minimise the risk of social isolation.” from the report
What inspectors were concerned about
  • Care records needed improvement

    needs fixing

    One care record was out of date, and some standard computer-generated statements were not personal enough. The record was updated before the inspection ended, but the home was asked to improve how people's needs and wishes were documented.

    “We noted one care record required updating.” from the report
  • Incomplete quality records

    needs fixing

    The manager carried out checks and investigations, but some were not documented. This meant action plans were not always developed or recorded.

    “We noted some of the checks were not documented, therefore action plans were not developed.” from the report
Questions to ask them, based on this report
  1. 01How has the electronic care record system been improved so that each person's needs and wishes are recorded in a personal way?
  2. 02How do you now audit care records and make sure identified actions are completed?
  3. 03How are accidents, incidents and investigations recorded, and how do you check that lessons have been acted on?
  4. 04What activities are currently offered, and how are they matched to each person's interests and abilities?
  5. 05How do you involve residents and relatives when care plans or health needs change?

This was an overall inspection covering all five CQC questions, including care, the premises, medicines, staffing, records and management; the previous inspection in April 2016 had also rated the home Good. This explanation was written from the published report of 31 May 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 story over the years

Every inspection of Abbeyfield Silverdale & District Society Limited

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. May 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Abbeyfield Silverdale & District Society Limited →

  2. May 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Abbeyfield Silverdale & District Society Limited →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 17 January 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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