The summary is based on our observations during the inspection, speaking with people who used the service, their relatives and the staff who supported them. We also looked at three records and observed care.We considered the findings of our inspection to answer questions we always ask: Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led? This is a summary of what we found-
Is the service caring?
We saw how members of staff treated people and observed care. We saw care was delivered well and in a respectful way. We saw staff were kind and attentive and encouraged people to be independent. We saw staff showed patience and gave encouragement when they supported people. We observed staff reassured people if they were upset.
We spoke with a relative who told us, "Extremely happy with xxx being there.”
Is the service responsive?
We saw people's individual physical, mental and social care and support needs were assessed and met. This included people's individual choices and preferences as to how they liked to spend their day. During our visit people were offered support and activities to meet their needs and preferences. For example, one person took part in a football training session with an outside agency.
We observed staff responded to people in a positive manner and respected their individual preferences. We observed that staff obtained people's consent before they carried out any care. For example, they asked people if they could enter their rooms.
Is the service safe?
Risk assessments regarding people's individual activities were carried out and measures were in place to minimise these risks.
The home had policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards in place. Mental Capacity Act (2005) and Deprivation of Liberty Safeguards are laws protecting people who are unable to make decisions for themselves. At the time of our inspection three people had deprivation of liberty safeguards in place.
We found where people lacked capacity their best interests had been considered.
We saw where people's behaviour challenged that service plans were in place to assist staff to manage the issues and keep people safe from harm. People were protected against the use of unlawful or excessive control or restraint because the provider had made suitable arrangements. These measures helped to keep people safe from abuse and to promote their welfare
The service was safe, clean and hygienic. The home was undergoing refurbishment in some areas for example a kitchen area and a shower room.
Is the service effective?
Our observations found that members of staff knew people's individual health and wellbeing needs. There was a process in place to ensure staff were aware of people's changing needs.
We saw that people responded well to the support they received from staff members. We observed that staff responded to people's needs in a timely manner. For example, a person asked
Arrangements were in place to ensure people's physical health needs were met. For example, where people had specific issues with their health, such as epilepsy guidance was in place to support staff to provide effective care.
Is the service well led?
Staff said that they felt supported and trained to safely do their job.
Quality assurance systems were in place and people were listened to.