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Inspection report

Date of Inspection: 25 June 2014
Date of Publication: 23 July 2014
Inspection Report published 23 July 2014 PDF

Overview

Inspection carried out on 25 June 2014

During a routine inspection

Prior to our visit we reviewed all the information we had received from the provider. During the inspection we spoke with a total of six people who used the service and asked them for their views. We spoke with two relatives of people who used the service. We also spoke with two care workers, one senior care worker, the housekeeper, the senior care manager and the area manager. We looked at some of the records held in the service including the care files for each person. We observed the support people who used the service received from staff and carried out a brief tour of the building.

The summary below describes what people who used the service, their relatives and the staff told us, what we observed and the records we looked at.

If you want to see the evidence that supports our summary please read the full report.

This is a summary of what we found:

Is the service safe?

We found that that people�s needs were assessed and care and support was planned and delivered in line with their individual care plans. These assessments and plans included any risks to the person and how these could be managed to keep the person safe. The provider employed sufficient staff to meet people�s needs.

There were arrangements in place to deal with foreseeable emergencies. We were told by staff members we spoke with that they were able to contact a manager when they needed to.

We found the home was clean and hygienic. People who used the service and relatives told us the home was clean and hygienic. There were arrangements in place to control the risk of infection.

CQC monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. The provider had worked with the appropriate authorities to reassess whether any applications were necessary. No applications had been made by the provider.

Is the service effective?

People we spoke with told us their needs were met. A person told us, �The care we get is good�. We saw people being cared for and supported in accordance with their plans. It was clear from what we saw and from speaking with staff they understood people's care and support needs and that they knew them well

Staff had received training to meet the needs of the people living at the home. Care staff we spoke with told us they had received the training they needed to provide care and support to people.

We saw in care plans that risk assessments had been completed that promoted people's independence. We saw in care plans that where people undertook aspects of their care independently this was clearly stated. One person who used the service told us, �Well, it is important to do as much as you can yourself�.

Is the service caring?

People told us staff were kind and met their needs. A person who used the service said, "Staff are good". Another person we spoke with told us, "The staff are kind and caring".

We saw staff talking with people in a kind, considerate and respectful manner. We saw staff took care to ensure people had enough to eat and drink.

Care staff we spoke with told us they felt people were well cared for. Relatives we spoke with told us they were happy with the care their relative received.

Is the service responsive?

We found that each person's needs were regularly reviewed and care plans were updated if needed. Records showed that people were supported in line with their plans.

People had access to activities and had been supported to maintain relationships with their friends and relatives. However, a person who used the service and two relatives told us they would like to see more activities taking place outside of the home.

We found the provider had made changes to improve the service as a result of investigations into complaints and accidents.

Is the service well-led?

We found the provider had systems in place to seek the views of people and that these were acted on. People who lived at the home told us they would feel able to raise any concerns they had with the provider and were confident their concerns would be dealt with.

The provider carried out quality checks and we found that the health and safety of people who used the service, staff and others was monitored.

We were told by people who used the service, relatives and care staff that they found the manager of the home was approachable and listened to their views.