Abbeydale Residential Care Home - Bury

The management of medicines had improved. People received their prescribed medicines when they needed them. The service worked in partnership with other professionals, and the community when able to do so. However, the home's medicines policy and procedure were not available for staff to access when we inspected. We recommend the policies are reviewed and made available.

Although on the day of inspection we found there were enough staff available, the layout of the building meant there were occasions staff were not available to assist people in their bedrooms. We have made a recommendation about the deployment of staff.

People were assessed prior to moving into the service and were supported by staff with a good level of knowledge and skills. We have made a recommendation about recognising and responding to conditions that are likely to deteriorate.

People care plans had been updated since our last inspection. However, there was further scope to make these care plans much more person-centred. Activities at the home had improved, with a new activities co- ordinator recruited. People we spoke with felt the activities within the home could be improved further and the manager confirmed activities would be strengthened.

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.

The provider had made improvements to staff training and competency checks to ensure staff had the skills, knowledge and competence to care for people safely. Staff supervision sessions were not yet fully embedded; however, a plan was in place and staff we spoke with felt supported.

The provider's quality assurance processes had improved and were effective in driving in improvements across the service. This was evident in the premises, fire safety and review of incidents and accidents to ensure people received a safe service. However, the registered provider needed to implement their own

governance checks to ensure they had robust oversight of the managers new governance systems.

The home had a new manager in post who had worked at the home for approximately 7 months at the time of our inspection. The feedback we received was positive regarding the changes they made since taking up the role. The current staff team spoke of a positive culture at the home, with good team work throughout.

Rating at the last inspection and update The last rating for the service was requires improvement [published July 2022] and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider had met the requirements of the warning notice regarding Regulation 17.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.