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Inspection Summary


Overall summary & rating

Good

Updated 3 May 2018

The inspection took place on 22 November and 4 December 2017 and was unannounced on the first day. The previous inspection was held in September 2015. There were no breaches.

The Larches is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Larches provides accommodation for up to 20 people requiring personal care. At the time of the inspection there were 18 people living at the service. There was a registered manager. 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 using the service, their family and professionals all said that The Larches provided a caring and safe service. Medicines were managed and stored safely. We found there were some gaps in medicine administration records but none of these omissions had resulted in harm to any individual.

People were protected from abuse by staff who had been trained to identify safeguarding concerns and knew how to act on them to keep people safe. Risks relating to the care of people living at the service were assessed and appropriate measures were put in place to minimise risks to people.

There were enough staff on duty to support people’s needs. Staff recruitment processes were robust and had ensured appropriate staff were employed. Staff turnover was low and staff morale was high. Staff received induction, training and the opportunity to undertake national qualifications.

The registered manager and staff had an understanding of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). DoLS applications had been made as appropriate.

People received care from visiting health professionals as required who expressed confidence in the service. People were offered a varied and balanced diet.

People were supported by kind, caring staff who demonstrated warmth and compassion. People and their relatives praised the staff for their caring approach. One person said, “Nothing is too much trouble.”

Care plans were written to meet individual needs and in consultation with people and/or their relatives. Attention was given to specific communication needs.

People were offered a range of activities including outings for shopping and coffee. Different spiritual and religious needs were catered for in the service. Visitors were able to come and go at any time and praised the service for the warm and welcoming atmosphere. People knew how to raise a concern and felt confident these would be acted upon.

There was a range of systems in place to monitor the quality of the service.

Inspection areas

Safe

Good

Updated 3 May 2018

The service was safe.

Medicines were safely managed and environmental risks were being managed.

There were enough staff on duty to ensure people�s care needs were met.

There were systems in place to ensure people were protected from abuse.

Effective

Good

Updated 3 May 2018

The service was effective.

People�s needs and choices were assessed.

People were cared for by skilled and experienced staff who had regular training and support.

People were supported to eat and drink and maintain a balanced diet.

Staff and teams of healthcare professionals worked well together to deliver effective care.

Consent to care and treatment was sought in line with legislation and guidance.

Caring

Good

Updated 3 May 2018

The service was caring.

People were treated with kindness respect and compassion.

People were actively involved in decision making about their care and treatment.

People�s privacy dignity and independence was respected.

Responsive

Good

Updated 3 May 2018

The service was responsive.

People received personalised care that met their needs.

People�s concerns and complaints were listened to and responded to.

People were supported at the end of their life to have a comfortable pain-free death.

Well-led

Good

Updated 3 May 2018

The service was well led.

The registered manager was quick to respond to feedback and make improvements to the quality assurance processes.

The service had a positive, person centred, open culture which achieved good outcomes for people.

People, the public and staff were engaged and involved.

The service worked well in partnership with other agencies and aspired to continuously improve.