During this inspection we spent some time with the nurse in charge and the registered manager. We found that the provider had made improvements in order to manage the risks associated with the unsafe use and management of medicines.
The two relatives of people who lived there gave us positive feedback about the standards of care and support that the staff provided. One person said that: "You can't fault them (staff), it's really good here'.
Staff employed at the home had access to further training and told us that they felt supported by their peers and the registered manager. One staff member said: "You can go to the manager with anything".
We found that medicine records were not always accurate, and medicine amounts did not always match the amounts that there should have been. Therefore we were unable to see if all of the people who lived there had received the right medicines at the right time.
When we observed the care provided we saw that people who used the service were given choices which supported and enabled them to make their own decisions. When care workers spent time with people it was meaningful, personal and offered appropriate encouragement for people to manage their own needs. For example we saw that one person was encouraged to finish their drink without care worker assistance, although they remained close to the person during this time.
Care workers demonstrated an individual knowledge of people and their abilities and personal histories. We saw that one person who became upset was supported by a care worker to contact their relative with their mobile phone.
People who did speak to us told us they were happy with the care and treatment they received. We also had the opportunity to speak to relatives during our visit who were also complimentary about the care and treatment provided to their relative. Comments included 'its lovely, the decoration is fantastic, like a hotel', 'The staff are nice and friendly', 'staff really are lovely and they do not hurry people'.
The home had its own sensory room for people to use. The provider was in the process of building an extension for nine single bedrooms, a lounge and shower room. The provider told us that when work was complete they planned to reduce the number of shared rooms in the home.