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Squeaks House Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 7 December 2019

About the service

Squeaks House Residential Care Home is an adapted building providing personal care for up to 29 older people, including people living with dementia. At the time of our inspection there were 17 people living in the service.

People’s experience of using this service and what we found

People and their relatives told us they were happy with the quality of care being provided.

We found improvements were needed where risks associated with people’s environment were not always being identified and acted on. Action was taken by the provider to address this during the inspection.

People were being supported to take their medicines as prescribed. Where people are prescribed pain relief, on an as and when needed basis, there was no assessment tool used to support staff in identifying pain where a person’s ability to report or verbalise pain is compromised. We have made a recommendation that the service improve in this area.

Recruitment procedures were safe, and people were supported in a clean and hygienic environment. People told us they felt safe living in the service and there were enough numbers of staff to support their needs. Staff knew what action to take if they had concerns over a person’s safety or welfare.

People were cared for by staff who were trained to meet their needs. There was a programme of ongoing redecoration and refurbishment, influenced by feedback from people, their relatives and staff. People’s needs, including in relation to their health and nutrition were assessed and planned for. 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 supported this practice.

People and their relatives praised the caring, friendly staff and said they would not hesitate to recommend the service to others. One relative told us, “I do recommend to everyone I see.” Staff knew people well and understood their preferred routines, likes and dislikes and what was important to them. They supported people to maintain links with those that mattered to them, and ensured their visitors felt comfortable visiting.

Care plans showed people were being consulted over their care. Staff encouraged people to join in and try new activities to promote their wellbeing. People knew who to talk to if they had any concerns or complaints and felt confident that any would be dealt with.

People were supported by management and staff who enjoyed their work and were highly motivated. The governance systems supported the registered manager and provider to assess the service provided and identify and address shortfalls.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 28 April 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 7 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 7 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 7 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 7 December 2019

The service was well-led.

Details are in our well-Led findings below