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Inspection Summary


Overall summary & rating

Good

Updated 6 July 2017

Larks Leas care home is located on the edge of Blandford Forum town centre. The home provides accommodation and personal care for up to 24 people. At the time of the inspection there was 20 living at the home. At the last inspection on 4 December 2015 we rated the home as good.

There was no registered manager in post but a manager had been appointed and was applying for registration. 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.

We observed that staff had a good rapport with the people they supported. People appeared comfortable with staff and able to ask for their support. One person told us “ I wouldn't go anywhere else", "I am very happy here", "they (staff) always ask us what we want to do". Staff received the training required to meet people’s needs

The staff we spoke with demonstrated they knew people’s social, emotional and support needs well. They were able to tell us about people’s individual support needs, their life history, people important to them and their likes and dislikes. People told us there were sufficient numbers of staff to met their needs.

People told us they were offered a varied choice of meals and staff confirmed the arrangements for offering choice at meal times. One person told us “ There is always plenty of food as well as tea and biscuits. The menu changes all the time and we decide in advance what we would like"

The provider had systems in place to protect people from the risks associated with medicines. Medicines were managed in accordance with best practice. Medicines were stored, administered and recorded safely. People told us that staff explained what the medicines were for before dispensing them.

People were supported to access external health professionals, when required, to maintain their health and wellbeing. The other risks that people faced had been assessed and measures were in place to minimise these individual risks.

People were supported by staff who had a clear knowledge and understanding of their personal needs, likes and dislikes. Care plans were personalised to each individual and contained information to enable staff to provide consistent support. People living at the home told us they were happy with the care and support provided.

Most people who lived at the home were able to make decisions about what care or treatment they received. Where people lacked capacity to make some decisions, the staff were clear about their responsibilities to follow the principles of the Mental Capacity Act (MCA) when making decisions for people in their best interests.

The service remained responsive to people’s individual needs. Care and support was personalised to each person which ensured they were able to make choices about their day to day lives. There was a varied programme of activities.

The service had a complaints policy and procedure which was available for people and visitors to view. People said they were aware of the procedure and knew who they could talk with.

There were systems in place to monitor the quality of the service provided by way of audits. The management had produced an action plan detailing where improvements would enhance the service provided.

Inspection areas

Safe

Good

Updated 6 July 2017

The service was safe

There were systems to make sure people were protected from abuse and avoidable harm.

There were enough staff to keep people safe.

People received their medicines when they needed them from staff who were competent to do so.

Effective

Good

Updated 6 July 2017

The service was effective.

Staff had the skills and knowledge to effectively support people.

People received a diet in line with their needs and wishes.

People had access to appropriate healthcare professionals to make sure they received the care and treatment they required in a timely way.

The service acted in line with current legislation and guidance where people lacked the mental capacity to consent to aspects of their care or treatment

Caring

Good

Updated 6 July 2017

The service was caring.

People were cared for by kind and caring staff who went out of their way to help people and promote their well-being.

People were always treated with respect and dignity.

People were involved in decisions about their care and treatment.

Responsive

Good

Updated 6 July 2017

The service was responsive.

People’s care and support was responsive to their needs and personalised to their wishes and preferences.

A programme of meaningful activities was in place.

People knew how to make a complaint and said they would be comfortable to do so.

Well-led

Good

Updated 6 July 2017

The service was well led.

The leadership arrangements for staff ensured staff were fully supported.

The provider’s quality assurance system operated effectively and where shortfalls had been identified there was a plan in place to address these.

People told us the management and staff were open and

approachable and they were complimentary about the service.