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Inspection report

Date of Inspection: 16 September 2014
Date of Publication: 11 October 2014
Inspection Report published 11 October 2014 PDF

Overview

Inspection carried out on 16 September 2014

During a routine inspection

At the time of the inspection there were thirty-four people living at the home. We talked with fourteen people and observed their experiences to support our inspection. We spoke with the registered manager, the deputy manager, seven care staff, two relatives and one district nurse.

During the inspection five key questions were answered; is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. The summary describes what we observed, the records we looked at and what people who used the service, their relatives and the staff told us.

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

Is the service safe?

Some people told us they felt safe. Safeguarding procedures were robust and staff understood how to safeguard the people they supported. One person told us, �I feel quite safe here. I have not encountered abuse.� Another person told us, �I would speak with the staff about anything I was concerned about.�

The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. The registered manager understood the home�s responsibilities in respect of Deprivation of Liberty Safeguards (DoLS). They told us there had been no applications in the last twelve months. Following a recent court ruling regarding DoLS in care settings, the provider may wish to review people's living arrangements to check whether their circumstances may amount to a deprivation of liberty according to the revised definition.

We saw the service was safe, clean and hygienic. The home had an effective infection control system. All the staff told us how they worked to prevent infection and how they would manage an outbreak at the home so the risk of infection spreading could be reduced.

Is the service effective?

One relative told us, �My mother has been so well cared for here. The staff have helped her during the recent changes to her health. The staff have been absolutely wonderful.�

Other people we spoke with told us if they were ill or needed to see a doctor the staff had called one. People told us they regularly saw and had been visited by a range of professionals such as the district nurse and optician.

People explained how their care and welfare needs were met. All people told us they had support with health appointments and felt the service was flexible. One person told us, ��I have a care plan and if I need anything different I just talk to the staff.� Another told us, �I have lived here a while. The staff always asks me if I want anything.�

Is the service caring?

We saw how staff communicated well with people and were able to explain things in a way which was easily understood. We saw they did not rush people in the home and how the interactions were caring. All the relatives we spoke with said they felt the care was very good. One relative told us, �I can�t fault the staff, they have been very caring.� Another told us, �All the staff are wonderful. They keep me informed and I visit regularly and see that my mother is very well cared for.�

We saw people were treated with respect and dignity by the staff. We saw people were given choice in their care and all the relatives we spoke to told us they were very happy with the care. All the people we spoke with also told us they were happy with the care and support they received.

Is the service responsive?

All the people told us they were very happy with the service. One told us, �I have medication that I need to take every now and then. When I need it the staff always help. I just need to ask.�

We saw how staff responded to people's requests for help in a timely way. One person told us, �I have a buzzer and when I need to I can use it to call for staff and they will help me.�

All the people we spoke with told us they were involved in decisions about their care.

People�s care needs had been reviewed at least every month. We saw that when people's requirements had changed the provider had responded and reviewed their care needs so that they could meet their changed support requirements.

People�s preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people�s wishes.

Is the service well-led?

We spoke with the registered manager and deputy manager. They showed us there was an effective system to regularly assess the quality of service people received. We found the views and opinions of people using the service and their carers, family and relatives were also regularly recorded.

We saw the home had systems in place to make sure managers and staff learnt from any accidents, complaints, whistleblowing or investigations. This reduces the risks to people and helped the service to continually improve.

Staff also told us they were clear about their roles and responsibilities. Staff had a good understanding of the ethos of the service and quality assurance processes were in place. This helped to ensure people received a good quality care service at all times.