22 September 2016
During a routine inspection
We spoke with five people about the care and support they received. The examples we have given are therefore brief because we respect people’s right to confidentiality.
Two registered managers were in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People’s views on how risks to their safety and well-being could be reduced were taken into account in the way staff supported them. People’s safety and care needs were understood by staff and staff took action so people’s safety and well-being needs would be promoted. There were enough staff to care for people and staff had opportunities to chat to people so they did not feel isolated and to prevent them from becoming anxious. Staff were confident action would be taken if they raised any concerns for people's safety or well-being. People were involved in decisions about how they supported to take their medicines so they would remain well.
People benefited from receiving care from staff who had the training they needed to develop their skills and meet people’s care needs. Staff cared for people in ways which recognised people’s rights to make their own decisions. Where people required some support from staff in order to choose from a range of options this was provided by staff. Staff supported people in ways which protected their freedoms and recognised their independence. People enjoyed the meals and drinks provided and had enough to eat to remain well. People received help from staff to see health professionals and staff advocated on people’s behalf so they would enjoy the best health possible.
People were supported by staff who knew them well. People had built caring relationships with staff and enjoyed spending time with them. People were encouraged to make their own decisions about how they spent their time, and were confident staff would support them to decide how they wanted to live their lives. People's rights to dignity and privacy was understood and acted upon by staff.
People’s views on what care they wanted, and how they wanted to receive this was used to develop plans which addressed people’s individual needs. Plans for people’s care took into account their preferences, health and life histories. Staff supported people in ways which recognised where they were independent and helped to ensure people had opportunities to do things they enjoyed doing and express themselves. People were confident action would be taken if they made any complaints about the care they received.
People were encouraged to let staff know what they thought of the care they received, and their views were used to inform further development of the services offered at the home. Staff were given clear guidance in understanding their roles and were supported by senior staff to provide the care people wanted. Checks were made on the quality of the care by registered manager and provider and staff took action to further improve people’s experience of living at the home.