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Inspection Summary


Overall summary & rating

Good

Updated 16 July 2016

This inspection took place on the 21 and 22 June 2016 and was unannounced.

The service provides accommodation and personal care for up to 58 older people, some of whom were living with dementia. At the time of our inspection there were 54 people using the service.

There was 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.

People were safeguarded from avoidable risk of harm and staff understood the process to follow and report any concerns regarding people’s safety. There were risk assessments in place which detailed how people could be supported safely and control measures were in place to minimise and to mitigate risks. Staff were trained to move people safely and meet their needs in order to keep them safe. People’s care plans were detailed, person-centred and included information regarding their backgrounds, preferences and activities they enjoyed. These had been reviewed regularly with involvement from people and their relatives where possible.

People’s healthcare needs had been identified and met. There were good links with community healthcare professionals where required. People had enough to eat and drink and their nutritional needs had been monitored so that their health and wellbeing was maintained. There was a creative and varied program of activities available to people including opportunities to visit local places of interest and outings.

People were treated with dignity and respect and their views were listened to and acted on.. The service were able to evidence the ways in which people gave consent to receiving care. Staff demonstrated an understanding of the Mental Capacity Act 2008.

Staff received a variety of specialised training for their roles. Staff completed a thorough induction programme when they first joined the service. The recruitment processes used to employ new members of staff were safe and ensured that staff employed had the skills, character and experience to meet people’s needs. There were enough staff to keep people safe and meet their needs. The service held regular team meetings and sent out staff surveys to provide staff with an opportunity to provide their feedback and contribute to the development of the service. Staff had been provided with opportunities to develop within their roles and had been supported through regular supervision and appraisal.

There was a robust quality monitoring system in place for identifying improvements that needed to be made across the service. The provider’s director carried out monthly monitoring visits to ensure that the quality of care and compliance was consistently of a high standard. The environment was clean and well maintained with robust systems in place for monitoring health and safety and controlling the potential spread of infection. Equipment was regularly checked and there were contingency plans in place in case of emergency.

Inspection areas

Safe

Good

Updated 16 July 2016

The service was safe.

There were regular assessments and reviews of risks within the home, and staff demonstrated knowledge of how to keep people safe.

There were enough staff to support people safely.

People’s medicines were managed appropriately and stored correctly.

There were robust recruitment procedures in place.

Effective

Good

Updated 16 July 2016

The service was effective.

People gave consent to their care and staff understood their responsibilities under the Mental Capacity Act 2005.

People had enough to eat and drink and had their healthcare needs assessed and met by the staff.

Staff received a range of training, supervision and appraisal to support them to carry out their duties effectively.

Caring

Good

Updated 16 July 2016

The service was caring.

Staff demonstrated a compassionate, caring and friendly attitude towards people.

People were treated with dignity and respect and had their privacy observed.

People were supported to access advocacy services if necessary.

Responsive

Good

Updated 16 July 2016

The service was responsive.

People had care plans in place which were personalised and evidenced involvement from people and their relatives.

There was a creative and full activity programme in place for people.

There was a robust system in place for handling and resolving complaints.

Well-led

Good

Updated 16 July 2016

The service was well-led.

People and staff were positive about the management of the service.

There was a robust quality monitoring system in place for identifying improvements that needed to be made.

Surveys and questionnaires were sent out to people, staff and relatives to seek their views and encourage them to contribute to the development of the service.