19 February 2016
During a routine inspection
We carried out an unannounced inspection of this home on 19 February 2016. The service was last inspected in August 2013 and there were no concerns.
There is a registered manager in post. 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.
At this inspection we found that medicines were managed safely. People were given individual support to take part in their preferred hobbies and interests. There was a programme of activities at the home and people told us that they participated in these. However, care plans did not always reflect people’s individual needs.
People told us and demonstrated that they were happy at the service by showing open affection to the staff who were supporting them. Staff were available throughout the day, and responded to people’s requests for care. Staff communicated well with people, and supported them when they needed it. There were systems in place to obtain people’s views about the service. These included reviews and informal meetings with people and their families.
People were confident that the registered manager would deal with any complaints appropriately. People and their relatives told us they had no concerns. Staff had been trained in how to protect people, and they knew the action to take in the event of any suspicion of abuse towards people. Staff understood the whistle blowing policy. They were confident they could raise any concerns with the registered manager or outside agencies if this was needed.
People and their relatives were involved in planning their own care, and staff supported them in making arrangements to meet their health needs. The provider and staff contacted other health professionals for support and advice.
People were provided with a diet that met their needs. We observed that staff offered people drinks throughout the day.
Staffs had been with the service for some time, and were not subject to recent employment checks. Care plans and risks assessments lacked details of how people should be cared for and how to minimise risks and systems to monitor the quality of the service were not in place.
We found three breaches relating to staff support, ensuring people’s consent, and quality assurance.