Background to this inspection
Updated
10 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by four inspectors.
Service and service type
Abbeywood is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed all of the information we hold about the service, this included looking at statutory notifications which they are required to send us when someone has an accident or there is a safeguarding concern. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with 14 people who used the service, one relative and two visitors about their experience of the care provided. We spoke with 12 members of staff including the registered manager, deputy manager, senior care workers, care workers and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included 9 people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. The registered manager sent us staffing rota’s, statements from staff, evidence of activities and changes to the service since our last inspection.
Updated
10 April 2020
About the service
Abbeywood is a residential care home providing accommodation and personal care for up to 51 people who may be living with dementia or an age-related illness. At the time of our inspection, 45 people were living at the service.
People lived in one adapted building that was divided into five separate living areas with each having its own lounge and dining rooms. There was a central courtyard which people could access as well as a garden area.
People’s experience of using this service and what we found
People told us staff were kind and caring towards them. People did give mixed feedback on staffing levels and activities; however we did not see people waiting for their care, and the registered manager was able to send evidence of outings, events and activities having taken place.
People said staff supported them with their medicines and they saw staff cleaning regularly to help ensure they lived in an environment free from infection. People said they felt safe and staff had introduced measures to keep risks to people to a minimum.
Staff were recruited through a robust procedure and training was provided to help ensure staff were competent. Staff worked well together and told us how much they enjoyed working at Abbeywood and caring for people. They told us they felt supported by management and listened to.
People reported to us the food was good and they had a choice. They said they could see a healthcare professional when needed and that they had the opportunity to give feedback on the service provided to them.
People said staff treated them with respect and some people told us they were happy with the trips and events organised by staff. They told us staff supported their independence.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Management carried out regular reviews of the service provided to people and looked for ways to improve Abbeywood. Where shortfalls were identified or changes needed these were addressed by the registered manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was outstanding (published 10 November 2018).
Why we inspected
This was a planned inspection based on the previous rating. Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.