Abbotsford Care, Newburgh
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. In order that people can experience full, meaningful, and purposeful lives, the provider must, by 5 January 2025, review all restrictive practice used within the service, promoting a positive risk-taking culture. To do this, the provider must also, at a minimum, ensure: a) where restrictions in place they are supported by the appropriate legal framework, b) any restrictions have restraint reduction plans in place and are reviewed regularly c) support staff have adequate training to recognise practice that may be restrictive and promote positive and life enhancing risk. This is in order to comply with Regulations 3, 4(1)(a)(c) of The Social Care and Social Work (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If my independence, control and choice are restricted, this complies with relevant legislation and any restrictions are
1. To support health and wellbeing, the provider should ensure menu information is accessible to all, including those with physical or cognitive impairments. Regular feedback on food quality and choices should be gathered and used to inform future menu planning. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning' (HSCS 1.33).
2. To ensure sufficient, safe and effective oversight of people's medication, the provider must ensure robust systems are in place to monitor medication over stock and accurately record carry forward balances on medication administration records. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality support based on relevant evidence, guidance and best practice.' (HSCS 4.11)
1. The provider should ensure that audit processes are effective in identifying areas for improvement. Where areas for improvement are identified, they should be acted upon without unnecessary delay and contribute towards an improvement plan. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which state that: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19)
1. In order to ensure that people’s views influence their care and support, the manager should ensure reviews take place regularly and that minutes of review meetings reflect how the person and their legal representatives have been consulted and involved in discussions. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state; ‘My views will always be sought and my choices respected, including when I have reduced capacity to fully make my own decisions.’ (HSCS 2.11) and ‘If I am unable to make my own decisions at any time, the views of those who know my wishes, such as my carer, independent advocate, formal or informal representative, are sought and taken into account.’ (HSCS 2.12).