Archived: No 9 Fifth Row

There was a medication administration record sheet which was fully completed and with no gaps in signatures. We saw from the person's care record that medication was regularly reviewed by their general practitioner or the consultant in charge of their care.

The building was well decorated, warm and provided appropriate accommodation to meet the needs of the individual. The person using the service gave us permission to look at their room. We saw that it was personalised with pictures, photographs and personal items.

The provider showed us a comprehensive training matrix indicating that staff had undertaken a range of training. Staff stated that they had regular supervision and appraisals. We saw copies of notes from people's supervision and appraisals and noted that a range of topics and areas were discussed.

Each service user had access to an easy read version of the complaints policy. Staff also told us that if a person expressed that they wanted to complain they would help them contact their care manager to discuss the situation. There had been no complaints logged this year.

We saw people were happy and relaxed with staff. We observed on several occasions people were asked their opinion and the provider acted in accordance with their wishes. We saw that there were regular reviews of care plans and that these routinely involved people's care managers and next of kin. This indicated that although people were not able to give their direct consent, someone was acting on their behalf.

We noted people had comprehensive assessments of needs. We found risk assessments had been undertaken and detailed care plans highlighted their needs. We saw care plans were reviewed yearly and were updated if people's needs had changed.

We saw there was a daily record of what people had to eat and they were provided with a choice of suitable and nutritious food and drink.

Effective systems were in place to reduce the risk of infection. We noted that the home was clean and well kept, floors and furniture were free from dirt and kitchen work surfaces and sink areas were clean. There was a valid Food Hygiene certificate displayed.

There was an effective recruitment process in place and application and interview procedures had been followed to ensure appropriate staff were employed.

We saw that people's personal records were accurate, fit for purpose and kept securely.