24 April 2019
During a routine inspection
People’s experience of using this service:
People and their relatives were positive about the service and the care provided.
People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Sufficient, knowledgeable staff were available to meet people's needs. People told us when they needed assistance, staff responded promptly. People received their medicines regularly and systems were in place for the safe management and supply of medicines. Incidents and accidents were investigated, and actions were taken to prevent recurrence. The premises were clean, and staff followed infection control and prevention procedures.
The service was effective. People's needs were assessed, and care was planned and delivered to
meet legislation and good practice guidance. Care was delivered by staff who were well trained and knowledgeable about people's care and support needs. People had a nutritious diet, and they enjoyed the quality and choice of food offered. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed.
People were cared for by staff who were kind and compassionate. The atmosphere within the home was friendly and welcoming and staff were warm and considerate towards the people they cared for. People and their relatives felt involved and supported in decision making. People's privacy was respected, and their dignity maintained.
Staff were responsive to people's individual needs and wishes and had an in-depth knowledge about each person. Relatives confirmed staff knew their family members needs well. People had access to a range of activities and entertainment they enjoyed. People's concerns were listened to and action was taken to improve the service as a result.
The service was well led. The registered manager and her management team were open, approachable and focussed on providing person centred care. Systems were in the process of being updated to improve the monitoring of the quality of care provided. The management team and staff engaged well with other organisations and had developed positive relationships.
Rating at last inspection: Comprehensive inspection completed 18 April 2018. Safe, effective, responsive and well-led were rated as requires improvement. The overall rating was requires improvement. There were breaches in regulation that have now been met at this inspection.
Why we inspected: This was a planned inspection based on previous rating of requires improvement.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our methodology. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk