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CQC report explained · a residential care home

What the CQC found at Abilities Short Breaks - Preston Road

Goodpublished 2 July 2019, 7 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 and control, including PPE, testing, visiting arrangements, hygiene and managing outbreaks. The provider also said it had measures to reduce the risks linked to COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed or rated in this targeted inspection.
Caring?
Good
This area was not assessed or rated in this targeted inspection.
Responsive?
Good
This area was not assessed or rated in this targeted inspection.
Well-led?
Good
This area was not assessed or rated in this targeted inspection.
The latest report, explained

What inspectors found, April 2022

Inspected but not rated; inspectors found good infection control and visiting arrangements during the COVID-19 pandemic.

This was a targeted inspection on 17 February 2022. It looked mainly at infection prevention and control, visiting arrangements and whether COVID-19-related staffing pressures affected care. The visit was announced with one working day's notice.

Inspectors were assured that the home used personal protective equipment safely, arranged testing, followed visiting guidance and had measures to prevent and manage infections. Staff had infection control training, and the home monitored their practice.

The home had enough personal protective equipment and kept its infection control policy up to date. The service was inspected but not rated, so this report does not provide an overall quality rating or ratings for most of the five areas.

What inspectors praised
  • Infection control policy

    The home had an up-to-date infection control policy and procedures that were updated as government guidance changed.

    “An up to date infection control policy was in place and there were standard operating procedures that were regularly updated in line with changes in government policy.” from the report
  • Staff training and monitoring

    Staff were trained in COVID-19 precautions, hand washing and using protective equipment. The home checked staff practice and provided more training when needed.

    “All staff had received training about COVID-19, hand washing and in the proper use and on donning and doffing of appropriate personal protective equipment (PPE).” from the report
  • Visiting arrangements

    The home followed visiting guidance and shared information with families about infections, visiting decisions and any restrictions.

    “The service followed current government visiting guidance. There were arrangements to manage infection risks.” from the report
  • Supplies of protective equipment

    The home was able to obtain enough suitable protective equipment to meet people's needs during the pandemic.

    “During the COVID-19 pandemic, the service was able to reliably get hold of enough of the right PPE to meet people's needs.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection control and visiting arrangements are in place now, and how are families told about changes?
  2. 02How do you check that staff are still using protective equipment and following infection control procedures correctly?
  3. 03How do you manage staffing pressures if staff are absent because of illness or infection?
  4. 04How do you arrange testing and manage possible infections or outbreaks?
  5. 05When was the home's infection control policy last reviewed and updated?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was not rated overall and the other areas were not assessed. This explanation was written from the published report of 12 April 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.

An earlier report, explained

What inspectors found, July 2019

Rated Good; inspectors found safe, kind and personalised care, with a few records and follow-up actions to improve.

This was an unannounced comprehensive inspection on 7 June 2019. One inspector spoke with one person using the home, staff and managers. The inspector reviewed care and staff records, medicines, maintenance and quality checks, and later spoke with three relatives and a care professional.

The home provides short stays for up to three adults with learning disabilities. Inspectors found that people were safe, treated with respect and supported according to their needs, choices and communication styles. Medicines, staffing, recruitment, food, healthcare and the home environment were managed well.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Safe had improved from Requires Improvement at the previous inspection. The other four ratings remained Good.

What inspectors praised
  • Detailed risk planning

    Risks such as choking, epilepsy, self-neglect and behaviours that challenged the service were recorded with guidance for staff. Inspectors said the records had improved since the previous inspection.

    “At this inspection we found that improvements had been made and they were sufficiently detailed.” from the report
  • Personalised communication

    Staff used pictures, computers, gestures and clear speech to help people communicate. Care records explained what people's signs, expressions and noises meant.

    “each person's care record contained a communication section with information regarding how people communicated and what their expressions, signs and noises made by them meant.” from the report
  • Respectful care

    Inspectors observed friendly and respectful interactions. Relatives said staff understood people's cultural, dietary and personal needs.

    “Staff talked to the person using the service in a pleasant, respectful and friendly manner.” from the report
  • Activities and independence

    People were supported to take part in activities such as swimming, shopping and walks. Staff also encouraged everyday independence through simple household tasks.

    “People were encouraged to be as independent as possible.” from the report
  • Safe medicines management

    Medicines records showed that people received their medicines as prescribed, with secure storage and monthly audits.

    “Medicines administration records (MAR) indicated that people received their medicines as prescribed.” from the report
What inspectors were concerned about
  • Fire drill records

    needs fixing

    Fire alarm tests had been completed, but the records did not name the staff who attended. Management said names would be added in future so staff participation could be monitored.

    “We however, noted that the fire alarm tests did not contain the names of staff who were present.” from the report
  • Mental Capacity Act training

    needs fixing

    One newly recruited staff member had not yet completed Mental Capacity Act training. Management said this would be arranged.

    “One staff had not received training on the MCA.” from the report
  • Unanswered suggestions

    minor

    Two recent suggestions from relatives had not been responded to when inspectors visited. Management said it would contact the relatives and follow up.

    “two suggestions made recently by relatives for improving the service had not been responded to.” from the report
Questions to ask them, based on this report
  1. 01Have fire alarm test records been updated to show which staff took part in each drill?
  2. 02Has Mental Capacity Act training now been completed by all staff, including newly recruited staff?
  3. 03What happened to the two suggestions made by relatives, and how are suggestions now tracked and answered?
  4. 04How will you make sure care plans continue to reflect each person's communication methods, cultural needs and preferences?
  5. 05How are medicines audits and care records checked during each person's short stay?

This was an unannounced comprehensive inspection covering the home, the care provided and all five CQC questions. This explanation was written from the published report of 2 July 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 Abilities Short Breaks - Preston Road

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. April 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Abilities Short Breaks - Preston Road →

  2. July 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Abilities Short Breaks - Preston Road →

  3. December 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2015

    Registered with the Care Quality Commission on 25 November 2015.

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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