Abundant Grace Nursing Home

Updated 14 October 2022

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 Health and Social Care Act 2008.

Inspection team

The inspection was undertaken by two inspectors on the first day. One inspector attended the second day of the inspection.

Service and service type

Abundant Grace Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Abundant Grace Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We used all this information to plan our inspection.

During the inspection

We spoke with ten people who were using the service about their experience of the care provided and three family members. We spoke to nine staff members including the Registered Manager, Clinical Lead, two registered nurses, head housekeeper, chef, activities coordinator and two healthcare assistants. We reviewed a range of records. This included eight people’s care records and medication records. We looked at two staff files in relation to recruitment and training. A variety of records relating to the management of the service, including policies and procedures were reviewed.

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.

Updated 14 October 2022

About the service

Abundant Grace provides nursing and personal care for up to 67 people with a range of complex health care needs which included people living with Parkinson's disease, diabetes and dementia. At the time of the inspection there were 64 people living at the home. The home is modern and purpose built over two floors, the first floor is for people living with dementia. People had access to a number of lounges, an activities room, dining areas and landscaped gardens. People had their own bedrooms with en-suites.

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

People we spoke to said they felt safe living at the home. One person said, “I feel this is such a good place, I cannot sing their praises high enough, staff looked after me, staff thought about us as a family.” People’s medicines were managed and administered safely. Infection control procedures had been updated in line with COVID-19 guidance to help protect people, visitors and staff from the risk of infection. There were enough staff to support people safely while staff had been recruited in line with the provider’s policy.

Risks to people's health, safety and welfare were identified and supported. People’s needs had been assessed and updated when these changed. People were supported by trained staff who linked with external professionals to ensure that people’s health needs were met. People were supported to eat and drink sufficient amounts to meet their needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were given kind and compassionate support by staff who knew them well. One person said, “What impressed me the most was the friendship between staff and patients they treat us like we're their family. We've gotten to know each other very well and I can't thank them enough for the care that they've given me.” People’s views and opinions were sought. Staff were dignified and respectful with people.

People were supported in a personalised way that was responsive to their needs. People’s communication needs had been assessed and staff were supporting these. People felt confident that any issues or complaints would be dealt with to their satisfaction. Planning for people’s end of life support was thorough and compassionate.

The registered manager encouraged feedback from people, staff and professionals involved in people’s care. Staff worked closely with health professionals and external agencies to promote good outcomes for people. People spoke positively about the registered manager.

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 30 April 2019).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

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 COVID-19 and other infection outbreaks effectively.

Follow up

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