You are here

Inspection Summary


Overall summary & rating

Outstanding

Updated 23 June 2016

The inspection took place on 12 and 13 April 2016 and was unannounced. The service was last inspected on 7 January 2014, when we found they were meeting the regulations.

The registered manager had been in post since April 2013. 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.

The service provides accommodation and personal care for up to 43 older people, who may have dementia. Thirty-six people were living at the home at the time of our inspection.

People were at the heart of the service. The provider’s philosophy, vision and values were understood and shared across the staff team. Staff received training in the provider’s values and philosophy, which included, ‘play, make their day, be there and choose your attitude’. People were supported to maintain their purpose and pleasure in life. People’s right to lead a fulfilling life was enshrined in a charter of rights, which all staff understood and respected.

The provider was innovative and creative and constantly strived to improve the quality of people’s lives, by working in partnership with experts in the field of dementia care. The provider had researched and reflected on how an internationally recognised provider of excellence in dementia care provided care. They had re-modelled the home in accordance with current best practice principles, which included artefacts and different rooms designed to stimulate memories, provoke curiosity and to rest and relax.

The registered manager and staff participated in research projects aimed at improving the quality of care. Actions taken by the provider and planned improvements were focused on improving people’s quality of life, based on the research and experience of experts. People, their relatives and healthcare professionals were encouraged to share their opinions about the quality of the service, to ensure planned improvements focused on people’s experiences. The provider ensured people had the opportunity to share their views face-to-face, by telephone and by using the most up- to-date ‘on-line’ computer based methods.

People and relatives behaved as if the home were their own home. They maintained their preferred and familiar routines and habits, which made them content and relaxed. Staff took time to understand people’s life stories and supported and encouraged people to celebrate important personal and national events. People were supported take an active interest in the local community and to maintain their personal interests and hobbies.

The provider employed a team of exercise and activity co-ordinators who were dedicated to supporting people to make the most of each day. The group activity sessions were effective and the positive impact on people’s moods was visible. People and staff shared the moment of fun together, which developed trust and positive relationships. Healthcare professionals and external agencies commented on the rapport between people and staff and the ‘lovely’ feeling that their rapport created across the home.

People planned their own care, with the support of their relatives and staff, to ensure their care plans matched their individual needs, abilities and preferences, from their personal perspective. Care staff showed insight and understanding in caring for people, because they understood people’s individual motivations and responses.

Staff were attentive to people’s appetites, moods and behaviours and were proactive in implementing individual strategies to minimise people’s anxiety. Staff ensured people obtained advice and support from healthcare professionals to minimise the risks of poor health.

All the staff were involved in monitoring the quality of the service, which included regular checks of people

Inspection areas

Safe

Good

Updated 23 June 2016

The service was safe. Staff understood their responsibilities to protect people from the risk of abuse. Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks. The registered manager checked staff’s suitability for their role before they started working at the home. Medicines were stored, administered and managed safely.

Effective

Good

Updated 23 June 2016

The service was effective. People were cared for and supported by staff who had the relevant training and skills for their roles. Staff understood their responsibilities in relation to the Mental Capacity Act 2005. The registered manager understood their legal obligations under the Deprivation of Liberty Safeguards. People’s nutritional and specialist dietary needs were taken into account in menu planning and choices. People were referred to healthcare services when their health needs changed.

Caring

Good

Updated 23 June 2016

The service was caring. Care staff were kind and compassionate towards people and encouraged them to take pride in their lifetime’s achievements. People were encouraged and supported to live with meaning and purpose every day. Care staff respected people’s individuality and encouraged them to maintain their independence in accordance with their abilities.

Responsive

Outstanding

Updated 23 June 2016

The service was very responsive. People and their relatives were involved in planning their care and support. People’s preferences, likes and dislikes were understood by the staff from the person’s point of view. People were supported to maintain relationships that were important to them and to engage with the local community. People’s views were regularly sought, listened to and used to drive improvement in the quality of service. Complaints and concerns were listened to, taken seriously and responded to promptly.

Well-led

Outstanding

Updated 23 June 2016

The service was very well led. The provider’s philosophy, vision and values were shared by all the staff, which resulted in a culture that valued people’s individual experiences and abilities. The provider worked with other specialist services and organisations to ensure people were at the heart of the service. People, their relatives and healthcare professionals were encouraged to share their opinions about the quality of the service, to ensure planned improvements focused on people’s experiences.