4 March 2014
During a routine inspection
People's care was planned using a whole life approach. Care plans and risk assessments were up to date and fit for purpose. People who used the service and their relatives were positive about the care provided. One relative told us "I am happy with the support my brother gets." A person who used the service told us "I am treated well here."
The provider was proactive in contacting and co-operating with other professionals to ensure people's wellbeing. Contact details for named professionals for each person were available and written communications sent between different providers about people were filed appropriately.
Medicines were not stored safely. While the medicine cupboard was locked, keys to the cupboard were left unattended by staff. Medicine administration and stock records were up to date and appropriate.
Staff were not supported to undertake appropriate training in a timely manner. Training was not structured and there was no formal appraisal system in place to review staff performance.
People's personal records were not stored safely. The office where people's records were stored was open during our inspection and left unattended by staff.
Staff we spoke with enjoyed working at the home and said that they received ongoing training and had up to date care plans to support people appropriately.
We found that people's needs, their care plans and risk assessments were regularly reviewed in order to meet their needs safely and to monitor their well-being. The people who used the service were involved in a range of activities both in the home and in the community.
Comments included, 'The staff help you with anything you want to do,' 'The staff help me to call my parents who live abroad,' 'We are given choice in whatever we want to do,' 'The staff always knock on my door before coming into my room' and 'The staff helped me to get my glasses, which I use for watching telly and they remind me of my appointments with the GP'.