This inspection took place on 9 December 2014 and was unannounced. When we inspected this service on 6 June 2013 we found it was not meeting minimum standards in the management of medicines. At a follow up inspection on 27 August 2013 the provider had made the necessary improvements. This inspection found the improvements had been sustained.
Whitehaven Residential Home is a care home which does not provide nursing care. It is registered for 15 people, and at the time of our inspection was fully occupied. People living at the home were older people and people living with dementia. They were accommodated on two floors. Shared areas comprised a dining area, a lounge and a quiet lounge. There was an enclosed garden with a paved area. A sign near the front door announced that Whitehaven Residential Home was a “pet-friendly home”.
There was a registered manager in post. 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 told us it was a pleasant place to live and they were looked after well. One family member commented “unique and lovely home with exceptional care”. People were kept safe. Staff had a good understanding of the risk of abuse, how to recognise it and how to report concerns. Risks to people’s safety were assessed and managed in a way that maintained their liberty. There were enough, suitable staff to support people safely. Arrangements were in place to keep medicines safely.
Staff were supported to provide a good standard of care. They received appropriate training and the manager had an effective system of appraisal and supervision. Staff checked people ate and drank enough to avoid the risk of poor nutrition and hydration.
Where people were able to consent, care and support were provided in accordance with their wishes. However where people were not able to consent, we found inconsistencies in the provider’s records of mental capacity assessments.
The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards which apply to care homes. We found the manager had procedures in place designed to safeguard people against the risk of being unlawfully deprived of their liberty. However they had not completed the process of making the necessary applications where people were at risk. We have made a recommendation about mental capacity assessments and Deprivation of Liberty Safeguards.
A family member had commented, “Staff take time to listen and care for residents”. We found the positive, caring relationships established by staff were extended to people’s families and pets. Staff encouraged people to be involved in their care and support and made sure they maintained their dignity and privacy.
People had opportunities to take part in appropriate activities if they wished to do so. Staff responded to people’s preferences and changing needs, and adapted their care and support accordingly.
The service was homely and friendly. A visiting social worker had commented in the visitors’ book, “warm and pleasant atmosphere”. Staff had a strong team work ethos and people’s relations considered the home was well managed. There was a system of checks and audits to make sure the quality of service was sustained.