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Inspection report

Date of Inspection: 7 July 2014
Date of Publication: 9 August 2014
Inspection Report published 09 August 2014 PDF

Overview

Inspection carried out on 7 July 2014

During a routine inspection

A single inspector carried out this inspection. We considered all the evidence we had gathered under the outcomes we inspected. We used the information 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?

This is a summary of what we found.

Is the service safe?

We met all three people who used the service and observed how they were supported by the staff. After the visit we spoke to three people's relatives. We saw that staff treated people with respect and dignity. Relatives told us that they were very happy with the service provided. They said people were safe and well cared for. One relative told us �I do indeed feel that it�s a safe service.�

Staff had received training to ensure that they supported people safely and appropriately. People�s individual files indicated the risks to the person and how these could be minimised to ensure that they were supported as safely as possible.

Staff had received training in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). The manager was aware that in some circumstances decisions needed to be made in a person�s best interest.

The building was appropriately maintained and serviced to ensure that people lived in a safe environment.

The systems for the administration of medication were not robust and this placed people at risk of not receiving their prescribed medicines safely.

Is the service effective?

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. We saw that as part of a quality assurance questionnaire a relative had commented �staff take excellent care of [my relative].�

People were supported to receive the healthcare that they needed and a member of staff told us that they had good support from the local GP practice.

People's care needs were assessed and plans of care developed from these. Staff had a good understanding of how to meet people's individual and assessed needs and of individual preferences.

Is the service caring?

Relatives we spoke with were very positive about the care provided by the staff team. One relative told us �[my relative] is very well cared for." We saw that staff supported people in a gentle, respectful and kind way. They offered people choices and talked to them about what was happening or what they needed to do.

Is the service responsive?

Care staff we spoke with were knowledgeable about the needs of people they supported and how to meet them. The service was responsive to people�s changing needs and wishes and changed the level of support provided accordingly. One relative told us �they are proactive. They assessed [my relative] in hospital and then arranged for the district nurse to visit as soon as [my relative] moved in.� This was a three bed home for older people and all those we spoke with felt that people got a lot of individual attention that met their needs.

Is the service well led?

The provider was also the manager of the service. Staff we spoke with said they felt the home was well managed and that they received the support and guidance they needed to carry out their duties and to meet people�s needs. In addition to working with people for most of the week the provider also carried out spot visits at different times to ensure that people received an appropriate service that met their needs.