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CQC report explained · a residential care home

What the CQC found at Abbotsbury

Goodpublished 27 September 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe and risks were assessed and managed. However, some medicines records were incomplete, and the home was recommended to improve records for creams and guidance for as-needed medicines.
Effective?
Good
Staff had the skills and knowledge needed to care for people, and care was based on people's needs. Some staff were overdue refresher training in areas including first aid and infection control, but training had been booked.
Caring?
Good
People and relatives described staff as kind, compassionate and respectful. Inspectors saw warm interactions and found that staff supported people's dignity, choices and independence.
Responsive?
Good
Care was personalised and people had choices about their support. The home supported family links, outings and personal interests, although staff said fitting activities around care tasks could sometimes be difficult.
Well-led?
Good
The home had an open culture, accessible managers and systems for checking quality. The medicines audit had not found all the issues inspectors identified, but the home acted on the findings.
The latest report, explained

What inspectors found, September 2022

Abbotsbury rated Good; inspectors found kind, safe care, with some medicines records needing improvement.

This was the first comprehensive inspection since the home was registered with CQC. One inspector visited without warning on 25 August 2022. They spoke with people, relatives and staff, and checked care plans, medicines, training and quality records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with kindness and respect, risks were managed, and staff knew people's needs well.

There was one recommendation about medicines. Staff were giving medicines as prescribed, but records for some creams were not always signed and some as-needed medicine guidance was not personal enough. Some checks and refresher training were also not fully up to date, but the manager had started to address these issues.

What inspectors praised
  • Kind and respectful staff

    People and relatives consistently spoke positively about staff. Inspectors saw staff responding to distress with reassurance and empathy.

    “People and their relatives were consistently positive about the caring attitude of staff.” from the report
  • People feel safe

    Risks were assessed and staff had guidance to reduce avoidable harm. People and relatives told inspectors the home felt safe.

    “People told us they felt Abbotsbury was a safe environment in which to live and relatives were keen to confirm this.” from the report
  • Personalised support

    People were involved in their care plans and supported to follow their interests, maintain relationships and achieve personal goals.

    “People had choice and preference on how their care and support needs were met.” from the report
  • Good involvement and openness

    People and relatives could give feedback, attend meetings and contribute to care planning. Staff said managers were accessible and supportive.

    “The service encouraged and facilitated people and their relatives to be heard.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Not all staff signed records to confirm they had applied creams. Some guidance for as-needed medicines was not sufficiently personal to the resident.

    “Although staff were trained and competent to administer medicines, records were not always kept accurately and required some improvement.” from the report
  • Some checks and training were overdue

    minor

    Some monthly safety checks had not been recorded as planned, and some staff were out of date with refresher training. The manager had identified these issues and taken action.

    “We did note some monthly checks had not always been carried out as planned.” from the report
  • Activities capacity

    minor

    Staff said it could sometimes be difficult to fit activities around caring tasks. The home planned to appoint a dedicated activity co-ordinator.

    “Staff fed back they supported the recruitment of an activity co-ordinator as it was sometimes challenging to fit in activities with caring tasks.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure every application of creams and other topical medicines is recorded?
  2. 02How do you keep as-needed medicine guidance personal and up to date for each resident?
  3. 03Have all staff now completed the overdue first aid and infection control refresher training?
  4. 04How do you make sure monthly safety checks are completed and recorded after the move to the electronic system?
  5. 05Has a dedicated activity co-ordinator been appointed, and what activities are currently available?

This was a comprehensive inspection of the newly registered care home and covered all five CQC key questions, including infection prevention and control. This explanation was written from the published report of 27 September 2022 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 Abbotsbury

5 rated inspections over 8 years: the service has held its Good rating throughout.

  1. September 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Abbotsbury →

  2. August 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. January 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement
  4. July 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  6. August 2021

    Registered with the Care Quality Commission on 18 August 2021.

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

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Most charge £980 to £1,270 a week. 34 can care for a couple. 11 years' experience on average.

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