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Inspection report

Date of Inspection: 2 May 2012
Date of Publication: 29 May 2012
Inspection Report published 29 May 2012 PDF

Overview

Inspection carried out on 2 May 2012

During a routine inspection

We carried out this review to check on the care and welfare of people using this service. We talked with four people who lived at the home and four care staff employed by the service about the quality of care. They all told us the service was very good. One person who lived at the home said, �I don�t think anything could be improved. All the staff are nice and I am getting used to the other residents�.

We found that many people had lived at the home for a long time and knew the other people and staff very well. We saw that people's own rooms were decorated and arranged in a style that they had chosen. People we talked with seemed pleased to show us their rooms and to explain the importance of their possessions.

We saw that people had a written care plan. People told us they or their relatives had been involved in agreeing what to include in their care plans. One person said to us, "They know the care I need and are always able to support me". Staff we talked with were knowledgeable about people's individual needs and described how they supported them. This meant that people were involved in agreeing the care they received.

We saw that care plans were detailed and risks to people's health and wellbeing had been considered and were regularly reviewed. We saw that when people's needs changed their care plans were updated and staff were told about the changes. People we talked with said they have regular meetings with the care manager to talk about their support needs. One person said, "The support is ok, things are generally alright". This meant that people�s needs were monitored and care plans were adapted to meet changing needs.

We found that staff were effectively trained and supported to meet people�s needs. We saw that the registered manager kept a record of training to make sure that staff maintained their competence and developed their skills. Staff told us that they met regularly with their line manager to discuss their practice and development of their skills.

Staff explained how they ensured people�s dignity, privacy and safety while carrying out care tasks. We saw that staff knocked at people's doors and waited to be invited into people's rooms. One person told us they had slept in much later than they thought they would as staff always allowed them to wake up naturally and never came in to wake them before they were ready.

We found that the quality of care was monitored by senior staff throughout the day and by the care manager on a daily basis. We saw the daily handover book was detailed and allowed the care manager to monitor when doctors or nurses had been asked to visit people and any changes to people�s medication or support needs. We found that the registered manager monitored accidents and incidents and took actions to reduce the risk of a re-occurrence.

We found that the provider made regular checks on the home, the staff, care records and the quality of care. People we talked with told us that they have conversations with the service manager. We saw that some people had responded to the provider's annual survey and that the provider had analysed the results. We found that the provider had responded to the things people said in the survey and had taken action to improve people's level of satisfaction. This meant that the provider took account of people's views about the quality of the service.