Background to this inspection
Updated
23 May 2023
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.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Abbots Leigh Manor Nursing Home 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. Abbots Leigh Manor Nursing Home 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
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
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed all other information available to us including notifications. Notifications are a legal requirement to inform CQC of certain events that take place in the service.
During the inspection
We spoke with 5 people in the home and 2 relatives. We spoke with the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with 1 nurse and 2 care staff. We checked records for 3 people using the service and looked at records relating to the running of the service such as audits and staff records.
Updated
23 May 2023
About the service
Abbots Leigh Manor Nursing Home is a residential care home providing personal and nursing care to up to 69 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 62 people using the service.
People’s experience of using this service and what we found
People received care that was safe and met their needs. People told us staff were kind and caring and there were enough staff to meet their needs. When staff were recruited, procedures were followed to ensure they were safe and suitable to work in the home.
People were protected from the risk of abuse because staff received training in how to identify and report concerns. The registered manager worked closely with the local authority to ensure people were safe and well supported.
When people required support with their medicines, this was done safely. Medicines were stored safely and securely.
The service was well led. People received person centred care which met their needs. People, relatives and staff all gave positive feedback about the culture of the service and the support they received from the registered manager.
There were systems in place to monitor the quality and safety of the service and this included regular audits. The Director and Nominated Individual spent time at the service maintaining oversight and working alongside the registered manager.
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. We did discuss with the registered manager how best interests decision making would benefit from more detailed recording. They told us this was something they had identified and were going to be introducing a new form for this purpose.
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 good (published 17 August 2018).
Why we inspected
We inspected the service due to the length of time since the previous comprehensive inspection.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Abbots Leigh on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.