Inspection on 29/05/08 for Abbott House Care Home
Also see our care home review for Abbott House Care Home for more information
This inspection was carried out on 29th May 2008.
CSCI found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
There is a good understanding of what constitutes good dementia care, from the observations made during the visit the interactions between staff and the people using the service were good. In general staff were observed to respect the individuality of people in their care. There was a relaxed atmosphere within the home, people were allowed to express their feelings and staff were observed to provide emotional support. There is a commitment to ongoing training to ensure that staff are equipped with the skills to meet the needs of people in their care. Risks assessments are individualised and realistic balancing the person`s rights to take risks. Examples include the cause and possible contributory factors of falls such as footwear, medication, sight impairment, rise and falls in blood pressure etc. This demonstrates that there is a pro-active approach to ensuring the health, safety and welfare of the people using the service.
What has improved since the last inspection?
The requirements set at the last inspection had been met within the timescales given. Pre assessment of needs is carried out prior to admission to ensure that people using the service have their needs met. The care plans and risk assessments were reflective of the current care requirements. There was evidence of people`s healthcare needs being monitored. There were risk assessments in place for people that required the use of bedside rails to ensure that the equipment is used safely. The medication receipt and administration records were well maintained. Staffing levels are being monitored to ensure that the dependency needs of people using the service can be fully met.Much work has taken place to merge the Old and the New Abbott House this has included reorganization of all documents between both buildings, this has resulted in an efficient administration system being in place.
What the care home could do better:
During the inspection staff were seen to coerce medication onto a person who had verbally stated they did not wish to take their medication. This is a difficult area especially when a person is prescribed essential medication. However the staff did not respect the right to choice. The medication policy identifies that where people refuse their medication their wishes are to be respected, and continual refusal may prompt a medication review. This matter was discussed with the senior member of staff on duty it was taken seriously and verbally confirmed that it would be made clear to all staff that this was not acceptable practice.