We undertook this inspection to review the provider's compliance with the compliance action made at the last inspection. At this inspection we found that improvements had been made. We found that people were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.
We found that people's care plans and risk assessment had been reviewed and updated regularly to reflect their changing needs. We spoke to seven people who used the service. They spoke positively about the care and support they received. They told us they were well looked after and liked living at the home. On person told us, 'Things go swimmingly here.'
People were protected from the risks of inadequate nutrition and dehydration. One person said the food was, 'Marvellous.'
There were effective recruitment and selection processes in place and appropriate checks were undertaken before staff began work.
There was an effective complaints system available and comments and complaints people made were responded to appropriately.
We found that the method for auditing the medication system was not effective. This meant that people were not protected against the risks associated with medicines because the provider did not have had appropriate arrangements in place to manage medicines.
People experienced care, treatment and support that met their needs and protected their rights. One person who used the service said, 'They always ask us what we want."
People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. All of the people we spoke with told us they felt safe in the home and with the staff.
People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. One person said,
"They (the staff) are very good to us." Another person said staff were, "Friendly and helpful."
We found that the provider had an effective system to regularly assess and monitor the quality of service that people received. One person said, 'We tell them what we want.'