Abundant Care improved from 'Requires Improvement' to 'Good' across all five key questions following a focused inspection on 24 May–12 June 2023, with the provider successfully addressing all previous concerns around recruitment, medicines, safeguarding, risk assessment and governance. Minor gaps remained in end of life care planning, supervision record-keeping and observation recording, but these had limited impact on overall care quality.
Concerns (5)
minor
End-of-life care
— “The newly revised care plans did not have a section to explore with people whether they wanted to discuss any needs around end of care and support.”
minorRecord keeping — “Some of the recording around staff observations lacked detail, which made it difficult to work with staff to address any gaps.”
minorSupervision / appraisal — “There was no record concerns were followed up at individual staff member's supervision and appraisals.”
minorCare planning — “We found 1 example where a person's care plan lacked detail about the equipment used to help them move.”
minorCommunication with families — “We had some feedback calls were not always answered. The registered manager told us an extra phone line was being added to resolve this.”
Strengths
· Provider resolved all concerns from the previous 'Requires Improvement' inspection, including recruitment, risk assessments, medicines management, safeguarding and infection control.
· Care plans were extremely detailed, personalised and person-centred, including cultural needs, personal histories and clear guidance for staff.
· Effective call monitoring systems flagged potential missed visits promptly, with rapid resolution when issues arose.
· Staff morale was positive; staff felt well supported through supervision, shadowing and practical training.
· Strong partnership working with the local authority, meeting action plan requirements, and positive feedback from external professionals.
Quality-Statement breakdown (20)
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: End of life care and supportGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning; Working in partnershipGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people, the public and staff; Duty of candourGood