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Inspection Summary


Overall summary & rating

Good

Updated 9 December 2017

Merryfield House Nursing Home is situated on the outskirts of Witney and is registered to provide care and support for up to 24 older people. The bedrooms, bathrooms and toilets of the service are situated over two floors with stairs and passenger lift access to the first floor. Communal areas including lounges, a conservatory and a dining room are available to people.

At the last inspection, the service had been rated Good.

At this inspection we found the service remained Good.

Why the service is rated good:

People remained safe living in the home. There was a sufficient number of staff to meet people's needs and staff were recruited safely. Risk assessments were carried out and promoted positive risk taking which enable people to live their lives as they chose. People received their medicines as prescribed.

People continued to receive effective care from staff who had the skills and knowledge to support them and meet their needs. People were supported to have choice and control of their lives. Staff provided people with support in the least restrictive way possible and the procedures in the service supported this practice. People could access health professionals when needed. Staff worked closely with people's GPs and other professionals to ensure people’s health and well-being were monitored.

The service continued to provide support in a caring way. Staff members supported people with kindness and compassion. Staff respected people as individuals and treated them with dignity. People and, where appropriate, their relatives were involved in making decisions about people’s care needs and the support people required to have their needs met.

The responsiveness of the service was outstanding. Regular monitoring and reviews helped to ensure referrals were made to appropriate health and social care professionals and, where necessary, care and support were changed and implemented to accurately reflect people's needs. Care planning was fixed upon having the individual at the heart of their support. The service identified how people wished to be supported so they received meaningful and personalised care. Activities were plentiful and meaningful, enabling people to live as full a life as possible. A range of group and one-to-one activities were available for those who liked to participate. People and relatives appreciated the activities co-ordinator. Staff had maximised stimulation for people who lived with dementia to give positive meaning to their lives.

The service was led by a registered manager who promoted a service that put people at the forefront of all the service did. There was a positive culture that valued people, relatives and staff, and promoted a caring ethos.

Inspection areas

Safe

Good

Updated 9 December 2017

The service remains good.

Effective

Good

Updated 9 December 2017

The service remains good.

Caring

Good

Updated 9 December 2017

The service remains good.

Responsive

Outstanding

Updated 9 December 2017

The responsiveness of the service was outstanding.

Care planning was fixed upon having the individual at the heart of their care. Relatives said support was extremely responsive because staff really understood the principles of outstanding personalised care.

People were encouraged to pursue personal interests and hobbies and to access activities in the service and community.

Changes in people's needs were immediately recognised and appropriate; prompt action taken, including the involvement of external professionals where necessary.

People were encouraged to raise any complaints or concerns and were given opportunities to do so.

Well-led

Good

Updated 9 December 2017

The service remains good.