Archived: Abbeyrose House

Updated 21 March 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.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

Abbeyrose house 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 care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service before the inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people. We spoke with the manager, the provider and two staff members. We spoke to four relatives who were visiting the service and a case officer from Kent County Council.

We reviewed a range of records. This included five 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 training and quality monitoring records were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, risk assessments, competency records and proof of works completed.

Updated 21 March 2020

About the service

Abbeyrose House is a residential care home providing personal care for to up to 29 older people living with dementia. There were 24 people living at the service at the time of inspection. There were a variety of communal areas for people such as two dining rooms and two lounges which included an additional dining space. The lift gave access to the upper floors.

People’s experience of using this service and what we found

The service was not consistently well-led. There were not adequate systems in place to monitor the quality of the service. Concerns picked up during the inspection had not been identified. Where risks were identified in people’s care, there was no written guidance for staff to follow to help keep people safe.

The service was not consistently safe. Medicines were not always managed safely.

People did not always receive effective care. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The provider was not clear on their responsibilities under the Mental Capacity Act or when Depriving someone of their liberty. People’s mental capacity had had not been taken into consideration when planning their care to protect people’s human rights.

The service was not consistently responsive to people’s needs. People’s care assessments were kept up to date, but information was not always transferred through to the care plan. Clear guidance was not always available for staff to follow. This included lack of information around activities, dietary requirements and support for people with behaviour that challenges. We have made a recommendation to the provider about this. Staff had regular training, however, had not had annual medication competency assessments done.

Staff were recruited safely and had relevant pre-employment checks in place. People were protected against the risk of harm or abuse by staff trained to be aware of their responsibilities.

People had choice with their meals daily, and whether they wanted to join in with activities.

People were cared for by a kind and caring staff team. They were treated with dignity and respect and had their independence promoted. Staff knew how to support people with their communication needs and people had been consulted about their end of life needs.

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 19 January 2017.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to medicines, mental capacity and governance this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to ensure improvements are made to medicines processes, mental capacity and governance arrangements. We will monitor the progress of improvements, working alongside the provider. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.