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Valerie's Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 5 September 2017

This was an unannounced inspection which took place on 25 July followed by an additional day on 27 July 2017 which was announced..

Valerie’s Residential Care Home is registered to provide a service for up to 17 older people. Some people have conditions associated with growing older such as sensory and physical difficulties. There were twelve people living in the home on the day of the visit. The service offered ground and first floor accommodation in individual bedrooms. The first floor accommodation was accessed via a lift.

At the last inspection, on 19 October 2015, the service was rated Good. At this inspection we found the service remained Good in four domains which meant it was still overall Good. However, one domain required improvement.

Why the service is rated Good:

There is a registered manager running the service. 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 staff team’s knowledge and understanding of how to keep people and themselves safe contributed to ensuring people lived in a safe and secure environment. People continued to be protected from any form of abuse or poor practice and any risks were identified and managed to keep people as safe as possible. Staffing ratios were adequate to meet people’s needs safely. The recruitment procedures ensured appointees were suitable and safe to work with people. People were given their medicines in safely.

The staff team usually responded effectively to people current and changing needs. However, some improvements were required in this area. They ensured people’s health and well-being needs were met in a timely way. However there were two occasions, identified, when care plans were not followed and action with regard to health needs was not taken as quickly as it should have been.

People continued to be supported to have maximum choice and control of their lives. Staff offer them care in the least restrictive way possible, the policies and systems in the service support this practice. However, there was some confusion and lack of understanding of the Mental Capacity Act 2005, specifically with regard to Deprivation of Liberty Safeguards.

The relatively small and stable staff team remained kind, caring and committed to caring for people. They were knowledgeable about people’s individual needs. The staff team respected people’s equality and diversity needs.

People received good care from a well led service. The registered manager was experienced and qualified and listened and responded to people, staff and others. The management team were described as open, approachable and supportive. Record keeping needed some improvement as did clarifying the actions taken as a result of quality audits and reviews.

Inspection areas

Safe

Good

Updated 5 September 2017

The service remained safe.

Effective

Requires improvement

Updated 5 September 2017

The service was not always effective.

Staff were appropriately trained to meet the needs of people but this was not always recorded in a clear and/or accurate way.

Staff encouraged and supported people to make as many decisions for themselves as they could and made sure they protected their rights. However, there was some confusion with regard to the Mental Capacity Act 2005.

Whilst staff, generally, helped people to take all the necessary action to stay as healthy as possible there was at least one occasion where necessary action was delayed until the registered manager returned to duty. Additionally behaviour plans were not always followed by staff.

Caring

Good

Updated 5 September 2017

The service continued to be caring.

Responsive

Good

Updated 5 September 2017

The service continued to be responsive.

Well-led

Good

Updated 5 September 2017

The service remained well-led.