Abbey Healthcare- Aarandale Manor

We observed people to be supported in a safe way, taking into consideration their needs, choices and wishes.

Risks identified with people's health, medical and care needs had been assessed and documented with clear guidance on how to minimise the identified risk to keep people safe.

People received their medicines safely and as prescribed. Systems and processes in place supported this.

Recruitment policy and procedures supported the recruitment of staff who had been assessed as safe to work with vulnerable adults. We observed enough staff available to support people safely.

The home smelled fresh and was clean. There were increased infection control measures in response to the coronavirus outbreak. The provider reacted appropriately to keep people safe.

Staff received the required induction, training and support to carry out their role effectively. Care staff told us that they felt appropriately supported and that the management team were always available to provide direction and guidance.

The service supported people to eat and drink in ways which took into consideration their support needs, likes and dislikes.

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.

Most relatives felt engaged with the service and confirmed that they received regular updates and feedback about their relative. However, some relatives did comment that communication between them and the

home could be improved.

Management audits and checks enabled managers to oversee the quality of care delivery and make the required improvements where necessary. During the inspection, minor issues were identified with the recording of supervisions, appraisals, capacity assessments, best interest decisions and DoLS. However, following the inspection, these issues were addressed.

We have made a recommendation about the provider and management sustaining the improvements and embedding all learning and development going forward.