Background to this inspection
Updated
21 August 2019
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
One inspector, one inspection manager and one assistant inspector carried out this inspection.
Service and service type
Abbotsbury Residential Home 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.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
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 11 people who used the service and four relatives about their experience of the care provided. We spoke with 10 members of staff including the operations manager, registered manager, deputy manager, senior care workers, care workers, activity co-ordinator, the chef and catering staff. We also spoke with one visiting health professional.
We reviewed a range of records. These included three 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.
We reviewed further information about positive achievements sent to us by the registered manager. We looked at training data and quality assurance records. We sought and received feedback from one further health and social care professional.
Updated
21 August 2019
About the service
Abbotsbury Residential Home is a residential care home providing personal care to 32 people at the time of the inspection. The service can support up to 32 people. The building was designed to give easy access over one floor to all areas including outdoor space. People could move around freely accessing activities of their choosing. The service had several communal spaces as well as one ensuite bathroom.
People’s experience of using this service and what we found
People told us staff were, “Amazing and treated them very well” and were, “Very kind, caring and funny.” Staff interacted with people at their pace, unrushed and joked and laughed with each other. Staff in all roles were empowered to sit and chat to people and developed relationships that helped people feel confident to speak up. Relatives told us the service was, “Fantastic.” And “The best home ever.” People and their relatives were supported in a variety of ways to speak up and have a say in how the service was run. Many people, relatives and staff used the word ‘family’ when describing the service.
People told us of many examples of where staff had altered activities and care approaches to support individual preferences. Staff were creative in how they engaged people and prevented people feeling isolated. People and their relatives were supported with end of life care in a sensitive and individual way. People who wanted to be, were supported to have roles in the care home which they were very proud of and boosted their sense of self-worth.
People and their relatives experienced a positive and inclusive approach to care and conducted some audits to give their feedback to help improve the service. The staff worked with outside professionals and communities to improve people’s health and social wellbeing. The registered manager and staff team all had a very good understanding of their roles and were empowered to make suggestions to keep improving the care.
People told us they felt safe and secure and well cared for. People were safe because the service had good systems for monitoring risk and staff had a good understanding of people’s needs and how to keep them safe. People told us there was enough staff on duty to meet their needs and they did not need to wait when they called for support. People were supported to take their medicines safely.
People told us the food was lovely and they had plenty of choice. They told us they and their relatives were involved in planning their care and assessing their needs. People told us they could choose the décor and personalise their rooms. 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last
The last rating for this service was Good (17 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.