20 June 2017
During a routine inspection
Poplars provides care and accommodation for up to 34 people who may need assistance with personal care and may have care needs associated with living with dementia. The service does not provide nursing care. At the time of our visit there were 21people living in the service. There were three people living on the first floor, known as “Tree Tops.”
A registered manager was not in post at the service. 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. We met with the interim manager who going to apply to become the registered manager.
Staff supported people in a caring and compassionate manner. They spent time talking to them and developing positive relationships. Whilst activities were in place, we found these were not always person centred. Where people had more complex needs, such as dementia, they did not have always have access to pastimes tailored around their needs and interests. We have therefore made a recommendation about developing person centred activities.
Care plans had been developed which outlined people’s care needs. Improvements were underway to ensure these were more person centred and easier for staff to read. Reviews of care were not carried out and recorded effectively, however staff responded well to people’s changing needs. People knew how to complain and the manager responded well to concerns.
Risk was well managed and people were supported to remain safe. People were protected from the risk of abuse. Staff used a new electronic system for administering medicines and people received their medicines as prescribed. There were sufficient staff to keep people safe.
Staff were well supported and worked well as a team for the benefit of the people they cared for. Staff knew how to meet people’s needs effectively. The manager knew where there were gaps in knowledge and skills and were supporting staff to access improved training.
The service was meeting the requirements of The Mental Capacity Act 2005 (MCA). Assessments of capacity had been undertaken and applications for Deprivation of Liberty Safeguards (DoLS) had been made to the relevant local authority. Personalised decisions were made in people’s best interest, involving family and outside professionals as appropriate. Staff were skilled at supporting people to be involved in decisions about their care.
People had enough to eat and drink in line with their preferences. Staff monitored where people were at risk from losing weight or not drinking enough and any concerns were addressed promptly. Staff worked alongside health and social care professionals to support people to maintain good health and wellbeing.
The manager was committed to driving improvement and had responded well to concerns raised by outside professionals. There was an open and calm atmosphere where people and staff were encouraged to give feedback about the care at the service. There were a number of checks in place to monitor the quality of the service. These had been revised to provide a more robust oversight of the care people received.