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Inspection Summary


Overall summary & rating

Good

Updated 23 September 2016

The inspection took place on the 30 and 31 August 2016 and was unannounced.

The service had a registered manager. 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.

Laurel Care Home provides accommodation for persons who require nursing or personal care for up to 60 people. At the time of our inspection 56 people were living at the home.

Accommodation at the home is provided over two floors, which can be accessed using stairs or passenger lifts. There are large garden and patio area’s which provide a safe and secure private leisure area for people living at the home.

The provider had systems in place to respond and manage safeguarding matters and make sure that safeguarding alerts were raised with other agencies.

People who were able to talk with us said that they felt safe in the home and if they had any concerns they were confident these would be quickly addressed by the staff or manager.

There were sufficient numbers of qualified, skilled and experienced staff deployed to meet people’s needs. Staff were not hurried or rushed and when people requested care or support, this was delivered quickly.

The provider operated safe and effective recruitment procedures.

Medicines were stored and administered safely. Clear and accurate medicines records were maintained.

Training records showed that staff had completed training in a range of areas that reflected their job role.

Staff supervision and appraisals were on-going, providing them with appropriate support to carry out their roles.

The registered manager was knowledgeable about The Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The Metal Capacity Act Code of Practice was followed when people were not able to make important decisions themselves. The manager understood their responsibility to ensure people's rights were protected.

People were involved in their care planning. Care plans were amended to show any changes and care plans were routinely reviewed to check they were up to date.

People were treated with kindness. Staff were patient and encouraged people to do what they could for themselves, whilst allowing people time for the support they needed.

People knew who to talk to if they had a complaint. Complaints were passed on to the registered manager and recorded to make sure prompt action was taken and lessons were learned which led to improvement in the service.

Inspection areas

Safe

Good

Updated 23 September 2016

The service was safe. People told us that they felt safe and staff treated them well.

Staff were aware of how to protect people from harm and knew how to respond if they thought someone was at risk.

There were suitable numbers of staff employed to meet people’s needs.

People were supported to take their medicines. Systems were in place to make sure they were managed safely by staff.

Effective

Good

Updated 23 September 2016

The service was effective. People were supported to access different health professionals when needed.

People had the support they needed with eating and drinking.

Staff understood the principles of the mental capacity act and the importance of ensuring people were able make choices and consent to their care.

Caring

Good

Updated 23 September 2016

The service was caring. People told us that staff were kind and polite to them and we saw they were.

Staff knew people's likes and dislikes which promoted people's individuality.

We saw staff treating people in a dignified way, respecting their privacy and encouraging their independence.

Responsive

Good

Updated 23 September 2016

The service was responsive. People's opinions were sought and people were encouraged to be involved in decisions about what they did.

Care plans were updated regularly to reflect any changes and to ensure continuity of people's care and support.

People knew how to complain if they needed to, and felt confident that they would be listened to.

Well-led

Good

Updated 23 September 2016

The service was well led. The registered manager enabled staff to put the people at the heart of the service and they recognised that this was the people’s home.

The provider had systems in place to monitor the quality of care that people received.

The registered manager had a clear vision for continued improvement of the service and was supported by the provider to achieve them.