Background to this inspection
Updated
25 December 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.
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
The inspection was carried out by two inspectors and a specialist advisor (who was a qualified nurse). An Expert by Experience worked off site making phone calls to people's relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Abbey Rose Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 and professionals who work with the service. 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 six people who used the service and thirteen relatives about their experience of the care provided. We spoke with fifteen members of staff including the registered manager, nurses, senior care workers, care workers, domestics and the chef. We spoke with three health care professionals who visited the service.
We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at three 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.
Updated
25 December 2020
About the service
Abbey Rose Care Home is a care home providing personal care and accommodation for up to 85 people who are frail or are living with dementia. On the day of the inspection, 76 people were receiving support. The service was delivered across three floors with a lounge and dining room on each floor. People had access to an en-suite bathroom and an outdoor area.
People’s experience of using this service and what we found
The registered manager knew of their responsibility to notify CQC of incidents of concern, however there was some delay where people had an authorised deprivation of liberty. They took immediate action to address this and improve their systems. People and relatives were happy with the way the service was led and were able to raise concerns. People and relatives told us support was individualised and they were involved in decisions. Audits were carried out to ensure the quality of the service was maintained.
People and relatives told us safe care was provided and staff had good knowledge of people’s needs. Medicines were managed safely. The provider had a robust recruitment process in place and there were enough staff to meet people's needs. People and relatives told us there were good infection control measures in place and our observations confirmed this. Action was taken quickly to improve the quality of care when incidents were identified and learning was shared with the staff team.
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 02 April 2020).
Why we inspected
The inspection was prompted in part due to concerns received about the quality of care provided at night and staff feeling unsupported and unable to raise concerns. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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 coronavirus and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same, good. This is based on the findings at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe 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 Abbey Rose Care Home on our website at www.cqc.org.uk.
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.