22 June 2023
During a routine inspection
People’s experience of using this service and what we found
The provider's quality assurance systems were not always effective in identifying and addressing actions identified. We have made a recommendation the provider continues to embed governance systems.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service support this practice. However, staffs knowledge was limited in relation to the Mental Capacity Act (MCA). We have made a recommendation in relation to staff knowledge about the MCA.
Medicine were safely ordered, stored and administered, however additional documentation was not always available. We have made a recommendation about the safe management of medicines.
People had support from safely recruited staff and there were enough staff on duty. Staff received training in safeguarding and understood their role and responsibilities to protect people from abuse. Staff continued to receive guidance and support from management when required.
People and staff spoke positively about the management of the service. There was a positive, caring culture within the service and we observed people were treated with dignity and respect. People were happy with the care they received, they felt safe and well looked after. People felt consulted about their wishes and they knew how to make a complaint if they wished to.
People received care and support that was developed to meet their individual needs as reflected in their care plans. Care plans included risk assessments for known risks and staff followed support plans to help keep people safe.
Staff had positive links with healthcare professionals which promoted people's wellbeing. Records confirmed the registered manager worked in partnership with stakeholders. We found the registered manager to be open and responsive to feedback.
The home was clean and tidy and additional cleaning processes had been implemented to prevent the risk of spread of infection.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 7 June 2022 under a new provider and this is the first inspection.
The last rating for the service under the previous provider was good, published on 9 January 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.