Abiden Care Home

People were positive about the food and drinks they received and we observed a positive meal time experience. However, one person's weight loss had not been followed up and acted upon. People had been consulted about their care and consent forms had been signed. People were mostly 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. Some deprivation of liberty (DoLS) applications had been undertaken. However, one person's authorisation had not been reapplied for and another did not confirm conditions had been considered in their care records. We made a recommendation about this. We found medicines were managed safely across the service. We made a recommendation in relation to undertaking regular planned medicines audits.

Improvements had been made in the environment and ongoing work was being undertaken. An improvement plan was in place. Staff training was refreshed at regular intervals. We saw some evidence of limited supervisions taking place however, these had not been done recently. We made a recommendation about this. There was evidence of the involvement of professionals and assessments had been undertaken.

People received good care, where some concerns were raised about people's care this was followed up by the management team who confirmed all care had been provided. People were treated with dignity and respect. Where one person told us about the privacy in their room the nominated individual took immediate action to address their concerns.

Records had been completed to show some activities were taking place. However, most people told us no activities were offered and some people said they were bored. The nominated individual told us they were in the process of developing detailed life history records to support tailored activities for people. Care plans had all been reviewed and contained information to meet the needs of people. The nominated individual told us they had taken action to record do not attempt cardio pulmonary resuscitation status for people. People's individual communication needs were considered. A system had been developed to record

complaints. The provider took action to investigate a concern they had not previously been aware of.

The nominated individual confirmed they would ensure an outstanding notification was submitted to the Care Quality Commission without delay. Satisfaction surveys were carried out and regular feedback was sought from people and staff . However, not all relatives could confirm they were engaged and involved in the service. There was evidence of partnership working and improving care. Very positive feedback was received from professionals working with the service. Audits were being undertaken but there were still gaps in some of the audits and a lack of detail about the actions taken. There was inconsistent management arrangements for the service . The nominated individual confirmed a manager had recently been recruited to post and would be commencing the application for registered manager.