About the service Abode Residence is a residential care home providing personal care to 8 people aged 65 and over at the time of the inspection. The service can support up to 13 people who may be living with dementia. The home is an adapted house which has individual accommodation and there is a lounge and conservatory for people to enjoy. There is also an accessible garden for people to use if they wish to do so.
People’s experience of using this service and what we found
People were not always protected from avoidable harm. A risk assessment was not reviewed when it needed to be and action to mitigate risk was not taken promptly. Equipment was not always assessed to ensure it was suitable to use. Recruitment documentation did not always request the information required by the provider. People told us they felt safe and staff were aware of how to raise concerns if they suspected people were at risk of abuse and systems were followed to ensure the risk of infection was minimised. Medicines were managed safely, and the provider and registered manager reviewed and shared information to drive improvement. Staffing was arranged so people did not have to wait for help and people described staff as, “Kind.”
We have made recommendations about the assessment of risk and recruitment documentation, which can be found in the ‘safe’ section of this report.
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. Mental capacity assessments were carried out, but records did not always clearly reflect decisions to be made or if less restrictive measures had been considered. People’s nutritional needs were assessed, and people spoke highly of the meals and snacks provided. People were supported by staff who were trained and knowledgeable of people’s individual needs and people and where appropriate, relatives were involved in care planning. The home was well -lit and signage had been displayed to help people who were unfamiliar with the environment, move independently around the home.
We have made a recommendation about the documentation of mental capacity assessments and best interests’ meetings, which can be found in the 'effective' section of this report.
Care records were not always written in a person -centred manner and did not consistently reflect a person’s individual needs. People told us they enjoyed the entertainment provided and they were supported to take part. People’s communication needs had been assessed and documented and staff were aware of people’s individual communication needs. There was a complaints process for people to raise concerns if they wished to do so.
We have made a recommendation about person centred care planning, which can be found in the responsive section of this report.
During the inspection we identified areas where action was required to improve areas within the home. Audits did not always have action plans to show how improvements would be made. The registered manager held meetings with staff and people who lived at the home, to share information and gain their views on how the service could be improved. The provider and registered manager worked in partnership with a variety of agencies to ensure people’s health and social needs were met.
We have made a recommendation about audit processes and provider oversight of the service, which can be found in the well-led section of the report.
People and relatives told us they considered staff were caring and our observations showed people were supported in a gentle and patient manner. Information about local advocacy services was available, to ensure people could access support to express their views if required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22/03/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.