Our current view of the service
Updated
6 March 2025
Date of assessment 26 March to 11 April 2025. This nursing home provides care for up to 54 older people. At the time of inspection there were 23 people living at the service.
The provider had taken over the service in August 2024 and had implemented new systems and processes to assess, monitor and improve the safety and quality of the service. The service had embedded most systems and had robust action plans and resources to continue to make the improvements planned.
The provider had interim managers, clinical lead and leaders and were actively recruiting and training new leaders in the vision, strategy and culture of the provider. There were enough trained staff deployed to meet people’s needs. The provider regularly checked staff practice and competencies and ensured staff were supported through regular supervision. Staff were recruited using safe recruitment practices.
Improvements were required to embed infection prevention and control practices and to actively involve people in their care planning and reviews. People’s risks were assessed and care plans provided staff with the information they needed to mitigate known risks. People’s care plans were reviewed regularly or as their needs changed.
Staff knew how to seek medical assistance in emergencies and kept people’s families informed. People’s health was regularly monitored and people had access to their GP at weekly visits. Staff worked well with the GP and district nurses and referrals were made to health professionals where required. Staff followed health professionals advice and provided people with their prescribed care.
Staff understood how to recognise, and report concerns. The provider had systems in place to report safeguarding issues and carry out any relevant investigations. Staff were encouraged to speak up if they had any concerns about how the service was run. The provider used any incidents and complaints to learn from and improve the service.
People were treated with kindness and compassion. Staff sought people’s consent before providing care and encouraged people to maintain their independence.
The provider was previously in breach of the legal regulations in relation to safe care and treatment and governance. Significant improvements had been made, and the provider was no longer in breach of this regulation. This service is no longer in special measures.
People's experience of the service
Updated
6 March 2025
People and relatives told us they had seen improvements in the way the service was run. A relative told us, “It seems to be turning around, improving all the time, they are doing their best, good people.” The provider met with and listened to people. A relative said, “I have been in the lounge for residents’ meetings, its good you can ask a question and get feedback.” People and relatives told us the service had improved, they said, “If I go to someone and ask anything, they come back to me now, communication has improved so much it’s like a different place.”
People told us they all lived on one floor now and there were enough staff, but less staff over the weekends. A relative said, “There’s enough staff now they’re all downstairs. At the weekend it can seem there more stretched.”
People received their prescribed medicines as planned. A person told us, “Staff tell me what the tablets are, they put them on the side for me, and I take them myself. Staff stay around to see they are taken.” A relative told us, “[Staff] discuss [Name’s] medication. [Clinical lead] talked about [Name’s] anti-seizure medication with me and I'm kept informed of any other changes even though [Name] may tell me.”
People and their relatives were involved in their assessments. A relative told us, “I was involved in the care plan, and it has been reviewed.”
People told us the meals were nice, they had enough to eat and they had choices. A person told us, “I get plenty to eat and drink.” A relative told us, “[Name’s] enjoying the food, trying new foods they’ve not had before.” A person told us, “It’s corned beef hash today, I don’t like it, so I am having a burger.” A relative said, “[Staff] are very good, if [Name] doesn’t like what they have, they ask them what they would like instead.”
Staff ensured people’s health needs were met. A relative told us how the person was involved in discussions about their health they said, “[Staff] talk to us about what’s going on with [Name’s] feet and legs.”
People said staff always asked their consent before helping them to use the hoist to transfer into their wheelchair, they told us, “Oh we have a good chat.” A relative told us, “They always explain what they are going to do and ask consent.”
Staff were kind and compassionate. A person told us, “Staff are kind to me.” Relatives told us, “Staff are all good, I’m happy [Name] is being looked after as they should be” and “I find [staff] are really lovely people, always willing to help.”
People chose what they wanted to do with their time. A relative told us, “[Name] likes to be in their room or if there are activities they will watch, they wouldn't join in, [Name] was the same at home, quiet.”
Staff were responsive to people’s needs. A relative told us, “[Name] does use the call bell, they’ve never said they have had to wait too long.”