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Inspection Summary

Overall summary & rating


Updated 22 November 2016

This inspection took place on the 19 October 2016 and was unannounced.

The service is registered to provide accommodation for up to 31 older people who require nursing care. At the time of our inspection there were 27 people staying there.

The service had a registered manager. 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.

People received care from staff that knew them and were kind, compassionate and respectful. Their needs were assessed prior to coming to the home and care plans were in place and were kept under review.

There were appropriate recruitment processes in place and people felt safe in the home. Staff understood their responsibilities to safeguard people and knew how to respond if they had any concerns.

There were sufficient staff to meet the needs of the people; staffing levels were kept under review.

Staff were supported through regular supervisions and undertook training which helped them to understand the needs of the people they were supporting. People were involved in decisions about the way in which their care and support was provided. Staff understood the need to undertake specific assessments where people lacked capacity to consent to their care and / or their day to day routines. People’s health care and nutritional needs were carefully considered and relevant health care professionals were appropriately involved in people’s care.

People were cared for by staff who were respectful of their dignity and who demonstrated an understanding of each person’s needs. This was evident in the way staff spoke to people and the activities they engaged in with individuals. Relatives spoke positively about the care their relative received and felt that they could approach management and staff to discuss any issues or concerns they had.

There were a variety of audits in place and action was taken to address any shortfalls. Management was visible and open to feedback, actively looking at ways to improve the service.

Inspection areas



Updated 22 November 2016

The service was safe.

People felt safe and staff understood their roles and responsibilities to safeguard people.

Risk assessments were in place to ensure people’s safety.

There were sufficient staff; staffing levels were reviewed regularly to ensure people’s needs could be met.

There were appropriate recruitment practices in place which ensured people were safeguarded against the risk of being cared for by unsuitable staff.

There were safe systems in place for the administration of medicines.



Updated 22 November 2016

The service was effective.

People received support from staff that had the skills and experience to meet their needs and who received regular supervision and support.

People were involved in decisions about the way their support was delivered; staff understood their roles and responsibilities in relation to assessing people’s capacity to make decisions about their care.

People had access to a healthy balanced diet and their health care needs were regularly monitored.



Updated 22 November 2016

The service was caring.

People received their support from staff that were friendly and treated them with kindness and compassion.

People were treated as individuals and staff respected people’s dignity and right to privacy.

People were encouraged to express their views and to make choices.

Visitors were made to feel welcome.



Updated 22 November 2016

The service was responsive.

People’s needs were assessed before they came to stay at the home to ensure that all their individual needs could be met.

People’s needs were continually kept under review and relevant assessments were carried out to help support their care provision.

People were aware that they could raise a concern about their care and there was written information provided on how to make a complaint.



Updated 22 November 2016

The service was well-led.

The views of people’s experience of their care and support were actively sought to enable the leadership to look at ways to continually improve the service.

There was a culture of openness and a desire to continually improve to provide the best possible person centred care and experience for people and their families.

Quality assurance audits were regularly completed by the registered manager to ensure that standards were maintained.