Abbey House Residential Care Home

1. To support people’s safety and ensure falls prevention measures are consistently applied, the provider should ensure that falls risk assessments are updated promptly after every fall, and that this is clearly recorded. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state: “My care and support meets my needs and is right for me.” (HSCS 1.19) “I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.” (HSCS 4.19)

1. To support safe, coordinated multi agency working, the provider should ensure that Adult Support and Protection referral and escalation routes are clearly understood and that Care Inspectorate notifications are made consistently and in line with guidance. This will support safe decision making and reliable recording. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state: “I am protected from harm, neglect, abuse, bullying and exploitation by people who have a clear understanding of their responsibilities.” (HSCS 3.20) “I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.” (HSCS 4.19)

2. The provider should strengthen its quality assurance systems to ensure consistent managerial oversight across key areas, including food and fluid monitoring, topical cream checks, accident and incident review, and care planning audits. This will help ensure that issues are identified promptly and that people experience safe and effective care. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state: “My care and support meets my needs and is right for me.” (HSCS 1.19) “I benefit from a culture of continuous improvement, with robust and transparent quality assurance processes.” (HSCS 4.19)