We used a number of different methods to help us understand the experiences of people using the service, because we found that people who used the service, due their complex needs, were unable to tell us about their experiences. During this inspection we spent time observing the care provided and speaking with people who used the service. We also spoke with staff and visitors and looked at records.The inspection was completed over two days.
We spoke with a visitor to the service who was very complimentary about the care provided to their relative. They told us, "They are very well looked after, they keep me well informed."
We spoke with a health professional who told us, "The residents seem happy enough, the staff follow instructions and are knowledgeable."
We found that some improvements had been made in relation to fire safety, infection control and use of bed rails.
We found that since our last inspection appropriate equipment had been provided to minimise risks for one person. We also found the manager had worked with the fire officer to improve fire safety in the home.
Whilst we did not plan to look at these areas during the inspection we found that people had not always received their medicines as prescribed and medicine records were not always accurate. We also found that the home and gardens had not been adequately maintained.