• Care Home
  • Care home

Abbotsleigh Mews Care Home

Overall: Good read more about inspection ratings

Old Farm Road East, Sidcup, Kent, DA15 8AY (020) 8308 9590

Provided and run by:
Bupa Care Homes (CFHCare) Limited

Important: We are carrying out a review of quality at Abbotsleigh Mews Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Latest inspection summary

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Background to this inspection

Updated 10 August 2023

Inspection team

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 Health and Social Care Act 2008.

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 2 inspectors, a nurse specialist professional advisor and an Expert by Experience on the first day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of service. 2 inspectors returned to the service on the second day.

Service and service type

Abbotsleigh Mews 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. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the

quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. The provider knew we would be returning on the second day of the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included any significant incidents that occurred at 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 reviewed the previous inspection report and actions plans submitted after the last inspection. We contacted the local authority commissioning and safeguarding teams to support our planning. We used all of this information to plan our inspection.

During the inspection

The inspection activity started on 5 June 2023 and ended on 15 June 2023. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We observed mealtimes and interactions between people and staff.

We met and spoke with 6 people using the service and 2 visiting relatives about their experience of the care provided. We spoke with 24 members of staff, this included the provider’s regional director, clinical deputy manager, registered manager, home manager, deputy manager, nursing staff, care staff, activities coordinator, kitchen staff and housekeeping.

We reviewed a range of records including 14 people's care and medicines records and 6 staff files in relation to recruitment, training and supervision. We also reviewed records related to the management of the service, including incident reports, complaints, quality assurance, health and safety checks and minutes of a range of meetings held across the service.

We observed staff daily meetings and carried out observations throughout the inspection in relation to infection prevention and control procedures and practice. We continued to seek clarification from the provider

Overall inspection

Good

Updated 10 August 2023

About the service

Abbotsleigh Mews Care Home is a residential care home providing personal and nursing care support for to up to 120 people. It provides support to people living with dementia, sensory impairment and/or a physical disability across four separate houses within the same grounds. Each house has separate adapted facilities. At the time of our inspection there were 120 people using the service.

People’s experience of using this service

People and their relatives spoke positively about staff and told us they felt the service had improved. People were protected from the risk of abuse and systems were in place to protect people from abuse or harm. Medicines were safely managed and people received their medicines as prescribed. Recruitment checks took place before staff started work and staff were appropriately deployed to meet people’s needs safely and timely. Risks to people were assessed, documented, reviewed and monitored to ensure their needs were safely met. The service had procedures in place to reduce the risk of infections.

The service had a new registered manager in post since our last inspection of the service. We found improvements in the service had been made and management understood the importance of quality monitoring and continuous learning and improvement within the service. The provider had systems in place which facilitated an effective oversight of the service and which drove service improvements. The provider took people’s views into account on a regular basis and feedback was used to help drive improvements. Staff told us they received good support from management and provider. The service worked well with health and social care professionals to ensure people’s needs were safely met.

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 Requires Improvement (published 26 August 2022) and there were breaches of regulation. The provider completed an action plan after the inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received some concerns in relation to the management of risk and safeguarding people. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected; we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Abbotsleigh Mews Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.