The home was clean and the provider had reviewed their systems to ensure that infection control practices were thorough.
The provider had systems in place to consult with people who used the service and had plans to address any concerns identified. There was a system in place to check people's care and support needs as well as the health and safety of the home.
Some people who lived at the home had been assessed as not having capacity to make choices and decisions which affected their lives. We found staff were not aware of their roles and responsibilities in relation to capacity and best interest decisions.
We found information in people's files that showed relevant people had not been consulted on decisions about people's care and support. This meant that systems and safeguards to ensure people experience appropriate care and support and to protect their human rights were not in place.
We found staff had completed safeguarding training and the home had an up to date safeguarding adults policy and processes that were accessible to staff.
We found people were not protected from the risk of infection because appropriate guidance had not been followed.
Whilst the provider did have systems in place to assess and monitor the quality of services but these were not consistently applied.
We saw that people had detailed care plans which reflected their needs and wishes. The records were up-dated in response to changes. People had access to medical support and specialist advice if required.
From talking to staff and from looking at records we found that people had received care from staff who had received training to do their jobs, and who had been supported in their roles.
We found that the home had undertaken a satisfaction survey, which included people who used the service, family and friends, staff, and healthcare professionals. Comments made by family and friends included; "I am made welcome and my relative is kept clean and comfortable" "The support from the staff continues to be excellent." A relative we spoke to told us "it is a very good home generally." "The staff are caring and helpful".
Some areas of concern raised in the survey were also identified during our visit. For example, concerns which related to equipment storage and housekeeping. Whilst action plans were being put into place to address these concerns, it was found that certain issues required prompt action. The provider commenced immediate action, and following the visit provided us with a detailed action plan.