A single inspector carried out this inspection. The focus of the inspection was to answer five key questions: is the service safe, effective, caring, responsive and well-led?
At the time of our inspection, the home was providing care for eight people.
We used a number of different methods to help us understand the experiences of people who used the service, because some people who used the service had complex needs which meant they were only able to communicate using key words, body language, gestures, facial expressions and objects of reference.
We observed the care provided and the interaction between staff and people who used the service. We also spoke with five care staff and the registered manager. We also read feedback from relatives.
Below is a summary of what we found. The summary describes what people using the service and staff told us, what we observed and the records we looked at. If you want to see the evidence that supports our summary please read the full report.
Is the service safe?
People who used the service had support plans and risk assessments which helped to ensure their safety and welfare.
We found the home had safeguarding, whistle blowing and Deprivation of Liberty Safeguards (DoLS) policies and guidance in place. Training records showed staff had received training in safeguarding and DoLS. When speaking to them, they were able to provide examples of what constituted abuse and how they could identify abuse. They were aware of action to take and how to report allegations or incidents of abuse to the relevant authorities.
The Care Quality Commission (CQC) monitors the operation of DoLS which applies to care homes. While no applications have been submitted, appropriate policies and procedures were in place. When speaking with staff we found they had an understanding of the Mental Capacity Act (MCA) 2005 and the DoLS and how they applied to the people they were providing care and support to on a daily basis.
Is the service effective?
We found the home had taken steps to ensure that people were included and involved as much as possible in their care and support. We found staff used various methods of communication to engage and involve people who used the service as much as possible such as pictures, gestures, sign language, key objects and words.
We looked at four care plans and saw that people's needs had been assessed and care and treatment were planned and delivered in line with their individual care plan. Risk assessments and behavioural support plans had been carried out. We found these were detailed and specific to each person and their needs.
People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. Staff were trained in areas of relevance to their job roles and demonstrated knowledge of people's individual needs and requirements.
Is the service caring?
We found good feedback had been received about the home.
Feedback from one relative read 'you have always addressed [relatives] needs' and another relative commented 'everyone I speak to is very helpful and pays attention to what we have to say'. When asked whether they felt that their relative was well cared for and that their needs were fully met, one relative commented 'Yes [relative] is happy here and that's all that really matters'.
During the inspection, we saw people being treated with respect and dignity. We observed staff provided prompt assistance and were patient when supporting people. Staff communicated well with people and explained what they were doing and why. We observed people were given a choice by staff and asked what they wanted to do and staff adhered to their wishes.
Is the service responsive?
There was evidence that people's needs were monitored. We saw risk assessments and support plans had been regularly reviewed and updated when people's needs changed.
People's health and medical needs were assessed and we viewed records demonstrating that they were supported and had access to health and medical services when necessary.
Is the service well-led?
We found the home had a system in place to obtain feedback through surveys which showed good feedback about the service had been received.
There were regular consultations and resident meetings with the people who used the service which gave them the opportunity to relay any issues or concerns they had and if they had any complaints they wished to make.
We also found regular staff meetings took place which ensured staff had the opportunity to communicate their views about the service and to discuss the care and support needs of people who used the service.
The home had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others. Checks had been conducted on all electrical equipment, and maintenance checks and service records were up to date.