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CQC report explained · a nursing home, run by Caritas Services

Abbeyfield House

114-116 Gatley Road, Gatley, SK8 4AB

Requires improvementpublished 7 February 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Some furniture was not secured, some radiators were not covered, and worn or taped carpets could create trip hazards. Medicines were being given, but storage and some records were not always suitable.
Effective?
Good
People received support that met their needs and were helped with food, drink, health care and choices. However, training and supervision records did not show consistently that staff had completed all relevant training or received regular support.
Caring?
Good
People were treated with kindness, dignity and respect. Staff knew people well, promoted independence and offered meaningful choices.
Responsive?
Good
Care was personalised and people were supported with communication, activities, holidays, volunteering and relationships. Some records did not clearly show what action had been taken after concerns were raised.
Well-led?
Requires improvement
Audits had found some problems, but environmental improvements were delayed and some record-keeping and training issues were not identified or resolved effectively. The provider was responsive to feedback and was introducing electronic care records.
The latest report, explained

What inspectors found, February 2024

Rated Requires Improvement; inspectors found kind, personalised care, but safety checks, medicines records and management systems were not always effective.

This was an unannounced inspection carried out on 6 December 2023 and 8 January 2024. One inspector visited, spoke with people, relatives and staff, and checked care, medicines, staff files and management records.

People were treated kindly and supported to make choices, stay active and take part in community life. Staff knew people well, and the ratings for Effective, Caring and Responsive were Good.

The home was not always safe or well-led. Inspectors found environmental risks, medicines storage and recording problems, gaps in training oversight, and records that were not always complete. The overall rating fell from Good at the previous inspection to Requires Improvement.

What inspectors praised
  • Kind and respectful care

    People were treated kindly and staff were patient, respectful and supportive. Staff knew people's needs and promoted their dignity and independence.

    We observed staff were kind, caring and patient when supporting people with their needs.from the report
  • Personalised support

    Care plans reflected people's preferences, and people were involved in daily decisions and care reviews. Staff supported people to follow interests and take part in community activities.

    The care is very personalised. Staff know [family members] likes and dislikes.from the report
  • Choice and independence

    People were supported to make their own decisions where possible. Staff used least restrictive approaches and encouraged people to do things for themselves.

    We observed staff consistently offer people meaningful choices and respected people's decisions.from the report
  • Good relationships and activities

    People were supported to maintain relationships, go on holidays, volunteer and join activities at the home and in the community.

    Staff told us they supported people to go out and engage in the community as much as possible, with some people engaging in regular volunteering roles.from the report
What inspectors were concerned about
  • Environmental safety

    serious

    Not all large furniture was secured and some radiators were uncovered. Torn carpets had been taped and some safety checks were not completed consistently.

    Certain areas of carpet were taped as they were ripped and torn and would otherwise have been a trip hazard.from the report
  • Medicines storage and records

    serious

    Some medicines were not stored properly, and records for creams, thickened drinks and occasional medicines were incomplete or lacked enough detail.

    Medicines were not always being suitably stored as there was insufficient storage in the clinic room for internal and external medicines to be stored separately.from the report
  • Training and supervision oversight

    needs fixing

    The home did not have effective oversight to show that staff had completed all relevant training or received regular supervision. This included training linked to swallowing difficulties, autism and learning disabilities.

    The training systems did not ensure that staff accessed the training relevant to their roles.from the report
  • Incomplete records and delayed action

    serious

    Records did not always show how people's needs were being met. Management checks had identified some issues, but improvements were not always completed promptly or sustained.

    The provider did not have suitable systems to ensure the quality and safety of the service and that accurate records were being kept.from the report
Questions to ask them, based on this report
  1. 01What has been done to secure furniture, cover radiators and replace or repair the damaged carpets?
  2. 02How are medicines now stored, including internal and external medicines, and how are creams and thickened drinks recorded?
  3. 03How do you check that every staff member has completed the training needed for people's specific conditions?
  4. 04How often are staff receiving supervision, and how do you make sure this is maintained?
  5. 05What changes have been made through the new electronic care record system, and how will you check that records are accurate?

This was an unannounced inspection that looked at the premises, care and management of the home and assessed all five key questions. This explanation was written from the published report of 7 February 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Abbeyfield House

3 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. February 2024Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Abbeyfield House

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. October 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2011

    Registered with the Care Quality Commission on 17 April 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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