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Inspection report

Date of Inspection: 12 May 2014
Date of Publication: 17 June 2014
Inspection Report published 17 June 2014 PDF

Overview

Inspection carried out on 12 May 2014

During a routine inspection

One inspector carried out this inspection. The focus of the inspection was to answer five key questions; is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at. We spoke with four people who lived at the home, three relatives who were visiting, and four members of staff. We also spoke with a GP and the hairdresser.

If you want to see the evidence that supports our summary please read the full report.

This is a summary of what we found

Is the service safe?

We found that the environment was safe, clean and hygienic. The home was bright and airy and the corridors were uncluttered and well lit. Medicines and cleaning equipment were all kept in locked cupboards. We looked at a number of care plans and found that they contained the relevant information about lifestyle, medical history and assessments of risk. Accidents and incidents were reported and appropriate action was recommended to improve safety.

There were sufficient appropriately trained staff on duty and we witnessed a helpful handover between their shifts.

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

Is the service effective?

The home had systems in place to assess and manage risks and to provide safe and effective care. The staff were appropriately trained and training was refreshed and updated regularly. Staff could also take the opportunities provided to study for additional qualifications and to develop their understanding of caring for people with conditions such as dementia and Parkinson�s disease. We also found evidence of staff seeking advice, where appropriate, from the GP or social services.

Is the service caring?

People told us that �the home is very friendly and everyone wants to help�. One relative we spoke with said �it is homely and not at all clinical�. We spoke with relatives who said they were able to visit at any time and they were �made to feel very welcome�. We saw that the staff were kind and sensitive and took time with people over lunch and when they were moving about within the home. We observed high levels of respect and people were treated with consideration and dignity.

We spoke with two people who were living in the home and both were positive about the care they received. One said �the carers are excellent, all of them are lovely; I can�t fault them."

Is the service responsive?

People�s needs were assessed before they moved into the home and detailed care plans and risk assessments were maintained and reviewed regularly. We saw that the staff monitored weight, nutrition and hydration and handover sessions were helpful and informative. Call bells were answered according to the home�s procedure and people had access to a programme of activities.

They were able to choose dishes from the menu and the chefs were happy to provide for special diets and additional options as requested. People living in the home also engaged with the manager and staff at regular meetings where they could express their views about all aspects of life at the home. They told us that their feedback was acted upon by the manager.

Is the service well-led?

People told us they were asked for their feedback on the service and their feedback was heard and changes were made as a result. One person had asked for a particular cake with the afternoon tea and that had been provided. We saw copies of the questionnaires completed by the people living in the home, their relatives and other healthcare professionals. We saw that incidents and accidents were reported and appropriate action was taken to prevent a repetition. The manager conducted a series of internal audits and took action promptly to resolve any issues.