23 March 2017
During a routine inspection
At the last comprehensive inspection in November 2014, the service was rated Good. This comprehensive inspection took place on 23 March 2017 and was unannounced. At this inspection we found the service remained Good.
The home had a registered manager who had registered with the Care Quality Commission in May 2016. 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 had been assessed when they started using the service. Risks to people and the environment were assessed and plans put in place to mitigate any identified risks. Care plans had been developed with the person’s involvement and described what staff needed to do in order to meet the person’s needs, risks and preferences. These were mostly reviewed regularly and if the person’s requirements altered. However, one care plan had not been updated for a person who received regular respite care.
There were sufficient numbers of staff on duty to support people with their assessed needs.
People received care that met their needs from staff who were recruited safely and trained in their role. Staff were supervised in their role and received an annual appraisal to help their personal development. Staff were trained in safeguarding and had a good understanding of how to respond to safeguarding concerns.
Staff knew people well and showed kindness and compassion when working with them. Staff respected people’s right to privacy and ensured they maintained people’s dignity.
People were supported to have choice and control of their lives. Staff supported them to maintain their independence. Staff had been trained in the requirements of the Mental Capacity Act (2005) and knew the implications of this when providing care for people. People were encouraged to do activities including those related to daily life, such as cooking. People were provided with a healthy and varied menu to meet their nutritional needs.
Policies and procedures were in place for staff to support people to take their medicines safely.
The home was well maintained. People were able to personalise their bedrooms. Friends and family were encouraged to visit without unreasonable restrictions.
There were quality assurance systems to monitor the running of the home. Records showed that where issues were identified these were addressed.