Abbeycare and Nursing

Updated 13 June 2024

Date of assessment 31 July to 28 August 2024.Abbeycare and Nursing is a service providing care and support to people through supported living and domiciliary care provision. We assessed 19 quality statements from the safe, effective, caring, responsive, and well-led key questions and found areas of good practice and areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. This assessment did not cover all parts of our Single Assessment Framework. We visited the service on 31 July and 7 August 2024. We reviewed records offsite and spoke with staff, managers, people, relatives, and healthcare professionals between 31 July to 28 August 2024. The assessment was prompted by a review of information we held about the service. The provider had failed to robustly assess the risks relating to the health safety and welfare of people. Risk assessments were not completed in accordance with the Mental Capacity Act 2005. This placed people at risk of harm. This was a breach of regulation 12 (Safe Care and Treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found there was a lack of systems and effective oversight in place to monitor the quality of the care provided, as they did not identify the issues found during the site visit. This was a breach of regulation 17 (Good governance) of the Health and Social Care Act (Regulated Activities) Regulations 2014. You can find more detail about our findings in the report below. We have asked the provider for an action plan in response to the concerns found at the assessment.

Updated 13 June 2024

While the people we spoke to expressed that they were happy with their care, our assessment found elements of care did not meet the expected standards. The service was not always able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. People’s capacity to make decisions for themselves in specific areas had not always been assessed, and the principles of the Mental Capacity Act (MCA) had not always been followed. Risks to people's health, safety, and wellbeing were not managed safely. Staff did not always have sufficient information required to support people safely. Not all care plans and risk assessments held up to date, factual information. The provider's processes for assessing and checking staff had the competence, skills, and experience to undertake their role, which required improvement . However, people told us that they could talk to staff and felt safe living in the service. People were supported to understand safeguarding and how to raise concerns when they didn’t feel safe. People were involved in making decisions about how they wished to be supported to stay safe. People were encouraged and supported to do as much as they could for themselves to maintain their independence. People’s family and friends were free to visit with them when they wished. There were no restrictions placed on when they could come. People undertook activities at the service and in the community, which supported their independence, health, and wellbeing.