As part of this inspection we received records which confirmed that a number of audits had been implemented to include cleanliness, medicines and accidents and incidents. Staff supervision and appraisal had been carried out and a system had been implemented to manage staff training needs. A residents' meeting had been held in February 2014.
The home closed in June 2014.
We found the home had repaired the fire exit and kitchen door. We found staffing numbers were sufficient. We found no evidence that the staff at night were not appropriately supported or experienced. The concerns were not substantiated.
We observed positive interactions during our observations. We saw that people were supported by care staff. One person said 'I always feel very supported. They (the staff) will come and talk to you and that's all you need sometimes'.
Risks to people's health and welfare were identified and their needs were met in a way that was personalised to each person.
We toured the home with the manager. We looked at all areas of the home including bathrooms, toilets, bedrooms and communal areas. We found that some areas were not clean. We had some concerns about cleanliness of the home.
We found that the premises was safe and suitable for residents.
We had concerns about the management of medicines at the home. We found that some people had missed their prescribed medicines and actions from a pharmacy audit had not been implemented.
During this inspection we spoke with people using the service and with relatives. We were told that people's privacy, dignity and independence were respected. We observed these types of positive interactions during our observations. We saw that people were supported to make decisions about how they lived their daily lives.
Risks to people's health and welfare were identified and their needs were met in a way that was personalised to each person. People with dementia type illnesses were treated nd in ways that supported their mental health and communication needs. The incidence of challenging behaviour was low. Health promotion was encouraged through referrals to specialists.
People who could speak with us, and their relatives, told us they felt safe and well cared for. We observed staff interactions and engagements with people and saw these were respectful, helpful and kind.
Staff were familiar with how to safeguard vulnerable adults. They were supported to make known any concerns they might have had, through internal mechanisms and by 'whistle blowing' if needed. Staff were recruited using robust recruitment procedures.
Staff and the manager listened to feedback, comments and complaints and acted upon this.