Our current view of the service
Updated
29 April 2025
Dates of the assessment were 07 May 2025, 15 May 2025 and 27 May 2025. The service is a care home providing support to older people living with dementia, and physical disabilities. The provider did not always work well with people to understand and manage risks. We identified some people’s needs were not met in respect of management of their skin integrity, personal hygiene, nutrition and hydration. This had not been identified in audits carried out by the service, putting people at risk of being harmed and their health and wellbeing deteriorating. Care plans and risk assessments were not always person-centred, and did not always detail how people’s independence, choice and control was promoted. The provider did not always routinely monitor people’s care and treatment to continuously improve it.People did not always feel they could speak up and that their voice would be heard. The provider valued diversity in their workforce. The provider did not always have clear responsibilities, roles, systems of accountability or good governance. The manager did investigate and report safety events. The provider assessed and managed the risk of infection. The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Reflective reviews were carried out after events to support lessons learnt and improve.
People's experience of the service
Updated
29 April 2025
During this assessment we spoke with 9 people and 4 relatives. Not everyone we spoke to told us management had an open and honest culture and would investigate any safety concerns reported to them. One person said, “If I have a problem, I will talk to the carers in dark blue. I haven’t needed to raise anything.”, “I think you can talk to the manager or to [staff member name]. I spoke to [staff member] about a couple of issues. I haven’t been up yet to see if it’s been sorted.” One person told us they had raised concerns with the manager about a staff member’s attitude, and they had agreed to address this. People told us they felt safe. Comments included, “I am happy here and very safe. The staff are very good”, “Safe yes, there’s nothing to worry about, they meet [relative’s] needs.” Most people were happy with the environment. Some comments included “It’s very nice here”, “The good thing is you can get around here. You can go outside for a little walk, or you can go for a bigger walk. The only thing is the TV could be in the centre of the lounge rather than at the side, as you can’t always see it and they could do with a fan in there. I haven’t said anything. I didn’t choose the wallpaper, it wouldn’t be my choice, but it’s okay” and “The garden is beautiful, and I sit out every day. I can talk to people and it’s so relaxing.” People did not raise any concerns in relation to infection prevention and control. Some comments included “It’s clean, they clean every day.” and “They come and dust all around.” We got mixed feedback when we asked people if they were involved in the delivery of their care and treatment. One person said, “Yes, they discuss things with me.” One relative told us they had not been involved or included in the management of their relative's continence care.