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Inspection report

Date of Inspection: 2 April 2014
Date of Publication: 26 June 2014
Inspection Report published 26 June 2014 PDF | 107.77 KB

Overview

Inspection carried out on 2 April 2014

During a routine inspection

During our inspection we asked the provider, staff and people who used the service specific questions; is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, and the staff supporting them and from looking at records.

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

Is the service safe?

People we spoke with told us they were happy living at the home, however we were unable to obtain the views of many people who used the service due to their health care needs.

Some of the staff working in the home were unaware of their responsibilities in relation to reporting incidents at the home and were not aware of how to report safeguarding concerns.

We saw the accident and incident book which related to people who received nursing care did not contain information about all the accidents and incidents that had occurred.

The provider had a recruitment policy in place and this was reviewed annually but we saw this was not being followed so was not safe.

The registered manager provided us with staff rotas. The staffing levels for people who required nursing care did not reflect the individual needs of those being cared for and did not allow for unforeseen circumstances.

Is the service effective?

People’s care needs were assessed before going to live at the home. Where people needed help with their personal care needs, we saw they were involved with the planning of their care and the level of assistance the wanted.

Where people required nursing care their pre-admission assessments were not always carried out by a trained nurse. This meant the provider and registered manager could not be sure they were able to provide the correct level of care.

Is the service caring?

People who received help with personal care were treated kindly and with respect. People were happy with the care staff and we saw people’s preferences being taken into account in ways like what they wanted to do during the day, what they wanted to eat and also if they wanted to spend time with visitors in private.

People who required nursing care were looked after by care staff that had not been appropriately trained for the role they were carrying out meaning they were unable to give the correct level of care and support to people who needed it.

Is the service responsive?

People who lived in the home were encouraged to participate in a variety of activities. Unfortunately those who required nursing care had very little stimulation and there were no cognitive activities for them to engage in.

Is the service well lead?

The home worked with other professionals like dentists, chiropodists and GPs to ensure people’s wider health needs were met.

We asked the provider and manager to show us the operational systems in place to ensure people received care which was safe and appropriate. Both the Provider and manager told us they had no such system and this was something which required attention. Failing to have an operational system meant that people were at risk of receiving care which was not appropriate or safe.