Archived: Abbey Care and Nursing @Home Limited

Updated 16 December 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 28 September 2016. We gave the provider 48 hours’ notice of this inspection. This is because the manager is often out of the office supporting staff and we needed to be sure that they would be available. The inspection was carried out by two adult social care inspectors.

Before the inspection we reviewed the information we held about the service. This included notifications regarding safeguarding, accidents and changes which the provider had informed us about. A notification is information about important events which the service is required to send us by law. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at previous inspection reports.

During our visit to the agency we spoke with the provider, the registered manager, deputy manager three members of staff. We spoke with a further three members of staff. We spoke with three people who used the service and three relatives over the telephone to seek the views and experiences of people using the service. We reviewed the records for six people who used the service and staff recruitment and training files for four staff. We checked management records including staff rotas, staff meeting minutes, quality assurance visits, annual surveys, the staff handbook and the Statement of Purpose. We also looked at a sample of policies and procedures including the complaints policy and the medicines policy.

Updated 16 December 2016

This inspection took place on 28 September 2016. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in the location offices when we visited.

At our last inspection on 23 April 2014, the provider was meeting the regulations that were assessed.

The registered provider is registered to provide personal care to people who live in their own homes. Primarily people receiving the service had complex learning disabilities and /or complex health needs. The service was commissioned to provide end of life care. The registered provider is registered to provide services to:- Learning disabilities or autistic spectrum disorder; Mental Health; Older People; Sensory Impairment and Younger Adults. The registered provider supports people who live in the Sheffield area and support packages range from 24 hour support to 4 hour visits. At the time of our inspection there were 42 people receiving a service from Abbey Care and Nursing @ Home Limited.

When we visited there was a registered manager in post, this person was also the registered provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

There were clear procedures in place to recognise and respond to abuse. Staff had received training in this area.

People received the level of support they required to safely manage their medicines.

Risks to people's health and safety were managed and plans were in place to enable staff to support people safely.

There were sufficient numbers of staff to ensure people's needs were met in a timely way.

People were supported by staff that been through a thorough recruitment process and had received appropriate training which was relevant to their roles. This meant people were supported by staff who had the knowledge and skills to provide safe and appropriate care and support.

People received the assistance they required to have enough to eat and drink and have their nutritional needs met.

People were involved in the planning and reviewing of their care and making decisions about what care they wanted. People received the care they needed and staff were aware of the different support each person required.

People were supported to maintain their hobbies and interests and staff recognised the importance of making sure people who received care and support in their homes did not become socially isolated.

People felt able to make a complaint and knew how to do so.

Positive and caring relationships had been developed between staff and people who used the service and staff recognised the importance of people maintaining and developing new friendships. People were treated with dignity and respect.

People were provided with a safe, effective, caring and responsive service that was well led. The organisation’s values and philosophy were clearly explained to staff and there was a positive culture where people felt included and their views were sought.