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Inspection report

Date of Inspection: 2 July 2014
Date of Publication: 8 August 2014
Inspection Report published 08 August 2014 PDF

Overview

Inspection carried out on 2 July 2014

During a routine inspection

This inspection was undertaken by one inspector. At the time of our inspection there were 24 people staying at the home.

We set out to answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

There were effective recruitment and selection processes in place. These processes included the completion of an application form, being interviewed and appropriate checks being undertaken.

People in the home appeared relaxed and comfortable with the care staff who were supporting them. People confirmed they felt safe living at the home and the relatives of two people who lived at the home told us they thought people were safe.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS)which applies to care homes. While no applications have been made under this legislation for any person living at the home we found that the manager understood their responsibilities in relation to the law.

The systems for ensuring people received their medication as prescribed needed to be improved. We found there had been some occasions where medication had run out before new supplies had been received. We spoke to the manager about this incident and subsequently received information outlining the circumstances of this matter together with assurances that the errors would not be repeated.

Is the service effective?

Staff received the support and training needed to ensure that they offered effective support to people that used the service.

There were some organised activities available for people and a schedule of activities was on display in the home.

People were observed to have been appropriately supported with dressing, personal hygiene and grooming. With the exception of one person, everyone told us they were satisfied with the frequency they were offered a bath or shower.

Our discussions with staff showed they had a good awareness of people's health conditions and records showed that people were supported to attend the health care checks that they needed to.

People had access to a range of health and social care professionals both within the community and those that visited the home. Following our visit, we spoke with a health professional who had regular contact with people at the home. They told us they had no major concerns about the care people received and that when they suggested areas for improvement that these were acted on.

Is the service caring?

People who were staying at the home made positive comments about the staff who supported them. One person told us, �Staff are all lovely and help me.� Another person told us, �I could not find anywhere better.� We spoke with the relatives of two people living at the home who told us they were satisfied with the care provided. One relative told us, �Staff are really lovely, I�ve no concerns, it�s an excellent home.�

From observations it was evident that staff took their time when supporting people and did not hurry them. We saw good interactions between people and staff. We saw that staff were friendly and laughing and joking with people as they offered support. We saw that people were supported by staff in a sensitive and respectful way.

Is the service responsive?

We found that people who used the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. People had opportunities to express their views about the service provided. This included their involvement in group meetings and service satisfaction surveys. Surveys seen indicated that people were mostly happy with the service. People told us they were able to raise any concerns they had.

Our previous inspection in January 2014 we found that there were some areas that needed to be improved and we issued compliance actions. At this inspection we found that improvements had taken place to meet the compliance actions.

Is the service well-led?

We saw that the home had a staffing structure that enabled the service to be managed appropriately. This included a manager that was registered with us and was responsible for the running of the service.

A care staff told us �It�s very rare I have any concerns. The home runs smoothly, staff are all lovely to work with and the management structure works well.� A relative of a person living at the home told us the manager was approachable. They told us the manager had been open about the findings of our previous inspection and that the home needed to make improvements.