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Inspection report

Date of Inspection: 20 May 2014
Date of Publication: 3 July 2014
Inspection Report published 03 July 2014 PDF


Inspection carried out on 20 May 2014

During a routine inspection

One inspector carried out this inspector. The focus of the inspection was to check if the provider had taken sufficient steps to meet the compliance action set when we visited the home on the 14 October 2013. On the day of our inspection there were 22 people living at the home. We spoke with people during the day but what they told us did not always relate to the essential standards we were assessing. People used a mixture of verbal and non-verbal communication to give us their views of living at the home.

We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask:

- Is the service safe?

- Is the service effective?

- Is the service caring?

- Is the service responsive?

- Is the service well led?

This is a summary of what we found-

Is the service safe?

We found people experience care and support that was planned and delivered in a way that was intended to ensure their safety and welfare. There were enough staff on duty to meet the needs of the people living at the home. People were protected from unsafe or unsuitable equipment because the provider had systems in place that ensured all equipment was properly used, maintained, tested, serviced and replaced. Staff personnel records contained all the information required by the Health and Social Care Act. CQC monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. While no applications had needed to be submitted, proper policies and procedures were in place. Relevant staff had been trained to understand when an application should be made, and how to submit one.

Is the service effective?

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. People we spoke with told us staff knew what they were doing when they supported them every day. Observations we made on the day of our inspection showed staff were experienced and clearly had the skills they needed when working with the people living at the home. Staff demonstrated an understanding and showed consideration when providing care to people with dementia.

Is the service caring?

During our visit all interactions we saw between the staff and the people who lived at the home were respectful. People who lived at the home received care and support in a calm and relaxed manner. We observed that staff were able to spend time and interact with people in a positive way. Encouragement was given where needed in a manner which enabled people to maintain their dignity and independence. People's care plans were clearly written, individual and person centred. The care plans contained information regarding people�s likes and dislikes in relation to food and daily routines. People told us they liked the staff.

Is the service responsive?

We saw that people were asked their opinion during the day where a choice was available. There was a system in place to monitor how many accidents or incidents had taken place over a given period. We saw that they had been analysed to make sure that the staff learned from such events. We saw that the quality of service that people received had been assessed and monitored against the requirements of the essential standards. We saw evidence that the information from these audits was used to improve the quality of the service. The service was reviewing the shift times to see if they could better accommodate people�s bedtime preferences.

Is the service well-led?

We met with the home�s owner / manager and the new deputy manager. The manager told us that she was planning to �Step down as the registered manager� and that �The deputy manager is responsible for the day to day running of the home. She will apply to be the manager within the next month�. The deputy manager told us that she was �Committed to improving the standards at the home�. Staff we spoke with were clear about their roles and responsibilities. All said they received the advice and support they needed from the management and colleagues.