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Inspection report

Date of Inspection: 9 April 2014
Date of Publication: 10 May 2014

Overview

Inspection carried out on 9 April 2014

During a routine inspection

As part of our inspection we spoke with twelve people receiving care and four of their relatives, the manager and deputy manager and staff working at the home. We also observed people receiving care and examined records at the home. Below is a summary of what we found.

Is the service safe?

The premises were clean, well maintained and accessible for physically disabled people. We saw appropriate security measures were in place to protect people living at the home. Procedures were also in place for responding to foreseeable emergencies to reduce the risks to people at the home. We found systems were in place to reduce risks within the home, for example for the safe storage and use of hazardous substances such as cleaning products and medication. The manager was aware of how to recognise if people were at risk of being deprived of their liberty and what action to take if this was the case. We saw safe techniques were used by staff when helping people with mobility difficulties.

Is the service effective?

People’s needs were being met at the home. We found that people's needs were assessed and care files included information about people’s diagnosed health conditions or disabilities. This meant they received care that protected their welfare and safety. We found adequate amounts of food and drink were available for people and that their dietary needs were met. People and their relatives told us the food was good and there was plenty of choice at mealtimes. One person said, "The food is fantastic. Really nice and just like you'd get at home."

Is the service caring?

People told us they were happy with the care they received at the home. One person said, "The staff are marvellous.” We observed staff providing people’s care were gentle and encouraging. We saw they used safe procedures for helping people to move around and to eat their meals. People told us they were treated with dignity and respect. One person told us, "They try their best here. The staff are respectful and ask me what I want to do. They try to keep people happy."

Is the service responsive?

People’s preferences, interests and diverse needs had been recorded and care and support had been provided in accordance with people’s wishes. Two people told us they were supported to go to church and this was important to them. We saw staff tried to provide activities that matched people’s interests and hobbies. One person said they had always liked to make things and that they had attended craft sessions at the home including glass painting. Two people chose to smoke and arrangements had been made for them to this in a safe, sheltered place. People told us they knew how to make a complaint if they were unhappy. One person said, “They listen to what I have to say and help me with anything I need." People we spoke with and their relatives told that they were asked for their views about the care delivered at the home. We saw an independent advocate visited the home regularly and that the manager received reports from them detailing people’s comments and any concerns.

Is the service well-led?

The manager completed regular checks and audits of medication, infection control systems and other aspects of safety and care at the home. Records showed incidents and accidents, complaints and quality audits were reviewed by the manager and changes were made to improve the service where required. People using the service, their relatives and other people involved with the service completed satisfaction surveys every 6 months and records showed action was taken where any improvements were required. Team meetings were held where staff were asked for their views about the home. Professional advice was sought and used to provide people with safe, appropriate care, for example from external health professionals.