14 September 2022
During a routine inspection
People’s experience of using this service and what we found
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.
People told us they felt safe navigating the home and with the staff who supported them. Staff had received training in safeguarding and felt confident using the processes in place to report any concerns. Risks to people's health, safety and wellbeing had been assessed and staff understood how to help keep people safe.
The service was a modern build with a safe, homely environment. However, records used to check equipment and to ensure safe evacuation in the event of a fire had not been updated as required.
Medicines were managed and administered safely, with regular checks completed. We were assured the measures taken helped prevention and control of infections.
Staff responded promptly and were attentive to people’s needs. The registered manager monitored staff deployment and ensured enough staff were always on duty. Processes in place ensured safe staff recruitment, with a range pre-employment checks completed.
People received an initial assessment of their needs. Care records included up to date information which showed people’s involvement with their development and reviews. Care provided was personalised and supported people’s preferences and wishes.
People were supported by caring, friendly staff who knew their needs well. People told us staff were skilled in their roles. Staff received required training and checks to ensure they followed best practice guidance.
People’s health needs were being met. The service worked closely with other health professionals and external agencies to support them with their health and wellbeing.
People and staff spoke positively about the management of the service and their openness to
feedback. The manager was approachable, maintained regular communication and
listened to the views of others.
A range of audits and checks were completed to maintain and where required, implement any required improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating
This service was registered with us on 22 December 2021 and this is the first inspection.
Why we inspected
The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC raised some potential concerns around the process for residents leaving the home unaccompanied. This inspection examined those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.
Recommendations
We have made a recommendation about the management of fire safety.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.