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Inspection report

Date of Inspection: 9 May 2014
Date of Publication: 12 June 2014
Inspection Report published 12 June 2014 PDF

Overview

Inspection carried out on 9 May 2014

During a routine inspection

During our inspection visit we spoke with two people who used the service, four members of staff, the manager and the operations manager. There were no visitors present at the home during our inspection. We also looked at records to help us answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

We saw that people were treated with dignity and respect. One person said, �It�s the best place.� Safeguarding procedures were in place and members of staff understood their role in safeguarding the people they supported. Members of staff had received training about the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards to understand when an application should be made, and how to submit one.

Systems were in place to make sure that managers and staff learn from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced the risks to people and helped the service to continually improve.

The home was clean, warm, well ventilated and free from offensive odours. We saw the home was well maintained and suitable for the lifestyle of people who used the service.

The duty rota provided details of the grades and number of staff on duty for each shift. Discussion with the manager and operations manager confirmed that staffing levels were determined by the health and social care needs of people who used the service.

Is the service effective?

People�s health and care needs were assessed with them or their relatives and they were involved in writing their care plans. Specialist dietary, mobility and equipment needs had been identified in care plans where required. Care plans were reviewed regularly and amended to reflect people�s changing needs.

We found that people�s weight and appetite was monitored. When any problems were identified advice was sought from the doctor, speech and language therapist and dietician. We saw that care workers were attentive to people�s needs at lunch time and sat next to the people who required assistance to eat their meal.

There was a rolling programme of training in place so that all members of staff were kept up to date with current practice.

Is the service caring?

We saw that care workers were attentive to people�s needs and offered appropriate encouragement and assistance when necessary. One person said, �The staff are all brilliant.� Each person had a care plan which contained information about their care needs and the support and assistance they required from members of staff in order to ensure their individual needs were met. Care plans also included details of people�s personal preferences and interests.

People who used the service and their relatives were also given the opportunity to complete annual satisfaction questionnaires. These were evaluated at the company�s head office in order to identify any areas for improvement

Is the service responsive?

We asked people what they did all day. One person explained they liked to go shopping and sit outside when it was sunny. Another person said, �There�s plenty to do.� The activities organiser told us about the activities she organised. These included, arts and crafts, reading, quizzes, pamper sessions and individual activities chosen by people who used the service. People were supported by members of staff to go shopping and visit other local amenities such as the cinema, theatre, pub, and bowling alley. People were also encouraged and supported by staff to pursue their own interests and hobbies.

People who used the service were encouraged to express their views about the care and facilities provided at the home at regular meetings. The manager explained that she met individually with people who were unable to attend the group meetings.

Is the service well-led?

The service worked well with other agencies and services to make sure people received their care in a joined up way.

There were systems in place for assessing and monitoring the quality of the service provided. We saw that audits completed regularly by the manager covered all aspects of the service provided.

Discussion with members of staff confirmed that they had received appropriate training and understood their roles and responsibilities. This helped to ensure that people who used the service received the care and support they needed.