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Inspection Summary


Overall summary & rating

Good

Updated 5 December 2017

An unannounced inspection of Promenade Care Home took place on 31 October and 1 November 2017.

Located in Southport town centre, the Promenade Care Home provides accommodation and personal care for up to 49 people. Shared areas include a large dining room and lounge on the ground floor. A lift is available for access to the upper floors and lower ground floor. There is a large enclosed garden to the rear of the building. Both front and rear entrances have disabled access. A call system with an alarm facility operates throughout the home.

A registered manager was in post. '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’.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

We looked at the care plans for four people receiving support at the service. Each record contained person-centred information which included physical and social information, life history, risks to people’s safety and reference to people’s choices and preferences. People told us they were involved with the care needs assessment and their plan of care. A person said, “I am more than happy with the help I receive from the staff, they are so nice.” The registered manager and staff were aware of how to support people from different cultures and backgrounds and this was recorded appropriately.

Staff were able to explain each person’s care needs and how they communicated these needs. People we spoke with and their relatives told us that staff had the skills and approach needed to ensure people were receiving the right care.

We saw people’s dietary needs were managed with reference to individual preferences and choice.

People were supported to follow various social activities; these were arranged on a daily and very much appreciated by people living at Promenade Care Home. There was a relaxed friendly atmosphere in the home with plenty of chatter and laughter. A person said, “It’s so nice, we have lots of fun, I am never lonely here.”

Staff received safeguarding training and staff interviews confirmed their knowledge around reporting procedures to the local authority and other external agencies. A staff member said, “I would always speak up for the residents.”

Staff sought consent from people before providing support. When people were unable to consent, the principles of the Mental Capacity Act 2005 were followed in that an assessment of the person’s mental capacity was made and decisions made in the person’s best interest.

The registered manager had made referrals to the local authority applying for authorisations to support people who may be deprived of their liberty under the Deprivation of Liberty Safeguards (DoLS). DoLS is part of the Mental Capacity Act (2005) and aims to ensure people in care homes and hospitals are looked after in a way that does not inappropriately restrict their freedom unless it is in their best interests.

The service had complaints’ policy and procedure which was clearly displayed for people and their visitors to the home to view. Complaints logged had been investigated and responded to in accordance with this documentation.

We saw recruitment checks had been undertake to ensure staff were ‘fit’ to work with vulnerable people.

Medicines were stored and administered safely to people living at the service. People were encouraged to administer their own medicines where appropriate.

Staff were trained in a range of subjects appropriate to the needs of people receiving support. This training was provided regularly, along with specialist training, for example, end of life care and formal qualifications in care to improve staff’s skill and expertise.

The service was well managed and people using the service, relatives and staff were complimentary regarding the registered manager’s leadership. A person told us, “ A very good home to live in.”

Systems and processes were in place to help assure and improve the overall quality of the service. The registered manager completed regular audits (checks) on how the service was operating. Any required actions were completed promptly and lessons learned shared with the staff to improve practice.

The registered manager sent out satisfaction questionnaires to people using the service and relatives; meetings were also arranged for them and for the staff. The information from satisfaction questionnaires and meetings was used to make positive changes and these had been acted on promptly to help improve the service. We saw changes had been made to the menus, shift patterns and the key worker role for staff. It was evident that the registered manager and staff listened to what people had to say.

The ratings from the previous inspection were displayed as required in the care home and on the provider’s (owner’s) website.

Inspection areas

Safe

Good

Updated 5 December 2017

The service remained Good.

Effective

Good

Updated 5 December 2017

The service remained Good.

Caring

Good

Updated 5 December 2017

The service remained Good.

Responsive

Good

Updated 5 December 2017

The service remained Good.

Well-led

Good

Updated 5 December 2017

The service remained Good.