Archived: Cascade Residential

We found that improvements had been made to the record keeping within the home. this was particularly in people's personal records, medication systems and quality assurance systems.

We found that medication records were clear and legible; medication was stored and handled correctly.

New systems for recording people's support throughout the day had been introduced; these appeared accurate and up to date with staff signing entries.

Quality assurance systems were in place with records evidencing that people were consulted about their lives.

A data protection policy was now in place and staff had received training about this.

We also saw that care records were written with the likes and dislikes of people recorded so that staff were aware of the wishes of their wishes.

There was a variety of information regarding people in several files and this meant that staff were provided with information to be able to fully support them. We saw that staff liaised with other professionals to help ensure that people's needs were fully met.

The manager had undertaken a large amount of work in order to improve the medication systems within the home. This was reflected in the new policy and documents which had been introduced since the last inspection. However some additional improvements were required to ensure that people's medication needs were fully met.

We saw that there were effective recruitment processes in place in the home to ensure that people were supported by appropriate staff.

There were quality assurance systems in the home to ensure that people's views were taken into account when developing the service. However audits did not highlight or ensure that there was evidence that the electrical wring and hot water systems were to an acceptable safety standard.

People's records included their preference's and staff were able to tell us how they knew people's preferences and respected people's privacy.

People's records included a variety of information.However these were not always fit for purpose as at times they were either uncompleted or not reviewed. We saw one incident when a person had not had their health needs fully attended to. There were not effective systems in place for the handling of medicines and the provider is required to take actions to rectify this.

Staff were aware of the safeguarding policy and there was a system in place to support people with their finances.

There was a a system for recruiting staff which required some amendments and staff training had taken place. However staff had not attended all of the basic training which could jeopardise thier ability to meet the needs of people.

There was not a comprehensive quality assurance system in place in the service. However there was a complaints system available which included the timescales of the actions that would be taken and confirmed that people would receive an outcome of any investigation.