Abbeyrose Court

Updated 20 May 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

Abbeyrose Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Abbeyrose Court is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed information we had received about the service. We sought feedback from the local authority and Healthwatch.

During the inspection

We spoke with nine people who used the service and five family members by telephone after the inspection visits. We spoke with nine members of staff including the registered manager, area manager, nurses, care staff, cook and activities co-ordinator. In addition, we spoke to the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included a number of people's care and medication records. We looked at five staff files in relation to recruitment and training and records relating to the management of the service.

Updated 20 May 2022

About the service

Abbeyrose Court is a residential care home providing personal and nursing care for up to 46 people in two separate ground floor wings. Each wing has separate adapted facilities. At the time of our inspection there were 40 people using the service.

People’s experience of using this service and what we found

Procedures were in place to keep people safe. People received their medicines when they needed them and sufficient staff were available to meet people’s needs.

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 did not always support people’s best interests.

People’s needs were assessed, reviewed and planned for. People had access to local health care support when required. People were supported by staff who received support and training for their role. The service was clean, and a programme of re-decoration was in progress throughout the building.

People were supported to follow their faith pathway and to exercise their right to vote in local elections. People were supported by staff who knew them well.

Concerns and complaints about the service were investigated and wherever possible, actions were taken where areas for development and improvement had been identified. An activities co-ordinator supported people individually and in groups to offer stimulation.

Regular checks took place around the service to help ensure people’s safety and wellbeing. The registered manager and area manager were in the process of reviewing all aspects of the service to identify any actions to improve the service for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 03 November 2020 and this is the first inspection.

The last rating for the service under the previous provider which was under the name of Lymewood Court Nursing Home was good, (published on 16 October 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. We have made recommendations in relation to the deployment of staff during mealtimes; implementation of the MCA; laundry services and the providers awareness of the scope of regulations. Please see the safe; effective; caring and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lymewood Court on our website at www.cqc.org.uk.

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.