30 September 2014
During a routine inspection
As part of this inspection we spoke with the two people who used the service and the Registered Manager. Below is a summary of what we found. The summary describes what people using the service and the staff told us, what we observed during the visit and what we saw in the records we looked at.
Is the service safe?
The provider had undertaken appropriate checks on staff employed to care for people at the home. Actions set out to manage risks identified in people's care plans and reviews, where these took place, were not being implemented. It was not clear from the information we reviewed how people or their representatives had been involved in drawing up care plans. There was some confusion about people's medical needs and health professions were not being informed about non-compliance with medicines. There were no procedures in place to ensure fire alarm systems were regularly tested.
Is the service effective?
Information about how people's needs had originally been assessed was not available on the day of our visit. Care plans set out people's needs and provided clear information for staff about how to care for people. Actions identified at care review meetings were not always implemented.
Is the service caring?
People were supported by kind staff who they liked. Staff understood how people communicated and sought to ensure that people had opportunities to get out and about. Staff ensured people were comfortable and were provided fresh well balanced meals which included foods that people liked.
Is the service responsive?
There was no evidence to show that people, their relatives or other professionals were invited to comment on the care provided at the home or how any feedback was responded to.
Is the service well lead?
The management of the home was unsure of aspects of the care being provided to people at the home. There were no mechanisms in place to audit the safety and effectiveness of the care provided.