Mabbs Hall Care Home

Inspectors found effective systems to protect people from abuse. Staff understood how to recognise and report concerns.

“People were protected from the risk of abuse because the provider had effective safeguarding systems in place.” from the report

Inspectors were assured that infection prevention systems, cleaning, protective equipment and outbreak arrangements were effective.

“Many relatives told us that the care home bedrooms and bathrooms were kept spotlessly clean.” from the report

People appeared comfortable with staff, and inspectors found that staff understood people's preferences and wanted to provide good care.

“People looked comfortable and had a good rapport with staff supporting them.” from the report

The home was working within the principles of the Mental Capacity Act. Necessary liberty safeguards were in place and related conditions were being met.

“We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place” from the report

Some care and risk plans did not explain clearly enough how staff should meet people's needs or reduce risks. Gaps in repositioning records could increase the risk of skin damage and pressure wounds.

“People's care plans and risk assessments did not always give staff all the information they needed on how to safely care for people.” from the report

Some external medicines had missing labels or opening dates. Pain relief patch stocks did not match records, and one strong pain relief medicine was being given but was missing from the person's medicines profile.

“Stock levels did not match records and the 'body map' did not always have a record of where on the body these had been applied in line with best practice guidance.” from the report

People and relatives reported rushed care and lengthy waits for call bells or help to use the bathroom. Inspectors also found that communication was difficult with some staff who did not speak English as a first language.

“Some people told us staff were not always able to spend quality time with them and were rushed at times and that response times to call bells being used could be lengthy.” from the report

The home's systems for checking quality and reducing risk were not robust. Problems identified by audits were not corrected quickly, and care records were not regularly updated.

“Whilst audits in place had identified some of the shortfalls we found at this inspection, progress on making the necessary improvements was slow.” from the report