We inspected Southerndown on the 17 August 2015. Southerndown provides residential and nursing care for older people over the age of 65, a number of the people living at the home were living with dementia. The home offers a service for up to 87 people. At the time of our visit 75 people were using the service. This was an unannounced inspection.
We last inspected in May 2013 and found the provider was meeting all of the requirements of the regulations at that time.
There was a registered manager in post on the day of our inspection. 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.
People were not always protected from the risks of infection and staff did not have access to equipment and facilities to prevent the spread of infectious diseases.
People told us there was not always things to do and that life in the home could be boring. Some people went periods of time without any contact with care staff. There was an activity co-ordinator in post, and another activity co-ordinator was due to start at the home shortly.
People were supported and cared for by kind, caring and compassionate care staff. Staff knew the people they cared for and what was important to them. Staff supported people to stay as independent as possible.
People received their medicines as prescribed. Staff kept an accurate record of where people had received their medicines.
Staff protected people from the risks associated with their care. Staff had clear guidance to protect people from pressure area damage.
There were enough staff deployed by the provider to meet people's needs. Staff received the training and support they needed to meet people's needs. Staff had clear leadership to ensure people received personalised care daily.
The provider was aware of improvements which were needed in the home, and had made arrangements to improve the quality of service, including the recruitment of staff. The registered manager had effective systems to monitor the quality of service people received.
People told us they felt safe in the home, staff had a good understanding of safeguarding and the service took appropriate action to deal with any concerns or allegations of abuse.
People and their relatives told us their complaints were acted on by the management team. Relatives felt staff were approachable.
People had access to appropriate food and drink and were supported to access external healthcare services.
Staff had good knowledge of the Mental Capacity Act and Deprivation of Liberty Safeguards. People who were being deprived of their liberty were being cared for in the least restrictive way. However, where people had given consent around their care, this had not always been documented.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.