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Inspection report

Date of Inspection: 25 September 2014
Date of Publication: 28 January 2015
Inspection Report published 28 January 2015 PDF

Overview

Inspection carried out on 25 September 2014

During a routine inspection

At the time of our inspection 36 people were using the service. Below is a summary of what we found.

We spent time speaking with people who lived at Borrage House as well as speaking with relatives and staff. We spoke with the provider/manager and we reviewed records and spent time observing people in the home. If you want to see the evidence that supports our summary please read the full report.

We considered all the evidence we had gathered under the regulations we inspected. We used the evidence to answer the five questions we always ask:

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well led?

Is the service safe?

People were cared for in an environment that was safe, clean and hygienic. Equipment at the home had been well maintained and serviced regularly. There were enough staff on duty to meet the needs of the people who lived there. We spent time observing people and noticed that they were cared for safely. Every member of staff we spoke with said that they were happy with staffing levels and said that these helped to provide safe and appropriate care.

Staff records demonstrated that mandatory training was up to date and that staff were trained to meet the needs of people. Staff were trained in the care of people with dementia, moving and handling and safeguarding.

CQC monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. While no applications had needed to be submitted, proper policies and procedures were in place. Relevant staff had been trained to understand when an application should be made, and how to submit one.

Is the service effective?

During our visit we spent time observing people and staff. It was clear from our observations and from speaking with staff that they had a good understanding of people's care and support needs and that they knew them well. For example, we noted that staff were able to tailor the way they spoke to each person, particularly their sense of humour and speech, to be able to make each person feel listened to and important.

People were cared for by staff who were supported to deliver care safely and to an appropriate standard. Staff had received training to meet the needs of the people living at the home and told us that they were able to put their training into practice.

Is the service caring?

People were supported by kind and attentive staff. We saw that staff showed patience and gave encouragement when supporting people, especially when they needed help moving around and to eat. Staff took into account the needs of people when planning activities so that they could take part in these safely. Staff told us that they worked hard to make sure their training was applied to the individual needs of people so that they could be supported to take part in activities important to them.

Staff said that they were very happy with the level of professional and emotional support they received from the management team.

Is the service responsive?

People's needs had been assessed before they moved into the home and these were checked by regular reviews, in which they were involved. People's needs assessments included an assessment of their capacity to make decisions as well as consideration of their dietary and nutrition requirements.

People's preferences and interests were acted on by staff who used monthly meetings to support people to meet their needs and goals. People had access to activities that were designed to stimulate them and they were able to influence the running of the home.

Is the service well led?

There was a manager in place who was registered with the Commission as the manager of this location, in line with the requirements of the registration of the service.

Staff had a good understanding of the ethos of the home and quality assurance processes were in place. Staff told us that they were clear about their roles and responsibilities and that management support helped them to do their job effectively. One person spent time talking with us and told us how supported they had felt by staff. The person said, "[Staff] talk to me nicely and I always feel like I'm important to them."