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Inspection Summary


Overall summary & rating

Good

Updated 22 August 2018

We inspected this service on 24 July 2018. The inspection was unannounced.

The service provides accommodation, nursing and personal care for up to 47 older people who may live with dementia. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The accommodation is split into two units over two floors and 42 people were living at the home on the day of our inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our previous inspection in May 2017, we identified improvements were required in delivering responsive care and treatment and in the leadership of the service. At this inspection, we found improvements had been made and the overall rating of the service has now changed to ‘Good’.

There were enough suitably trained staff with the appropriate skills and knowledge to care for people safely and respond to their emotional and social needs. People’s risks to their health and wellbeing had been identified, and staff understood the importance of their role in supporting people to minimise those risks. The registered manager checked staff’s suitability to deliver care and support during the recruitment process.

The provider worked in partnership with other healthcare professionals to ensure people received effective care that was responsive to their needs. People’s medicines were stored and managed safely. Medicines were given in accordance with people’s prescriptions by staff who had received training in safe medicines management.

Staff knew people well and were kind and compassionate in their approach. Staff recognised how their attitudes and contribution had an impact on the quality of care people received. They worked in accordance with the provider’s values of recognising people’s individuality and treating them with dignity and respect. Families were encouraged to spend quality time with their relatives and staff helped people share special moments with those who were important to them.

The home had a welcoming atmosphere, was clean and well-maintained and supportive of people’s needs. People were able to take part in a range of leisure activities and other pursuits which reflected their choice and interests and promoted their physical, emotional and mental health.

The registered manager understood their responsibility to comply with the requirements of the Deprivation of Liberty Safeguards (DoLS). People's right to make their own decisions about their care, were supported by staff who understood the principles of the Mental Capacity Act 2005.

There was a strong emphasis on people eating and drinking well. Staff had a good understanding of people’s nutritional risks so they could meet their individual dietary requirements.

People were encouraged to raise concerns and make complaints and they were confident these would be listened to and responded to promptly.

The registered manager had been registered with us since August 2017 and had the skills and ability to provide effective leadership within the home. The registered manager had a clear vision and created a positive culture where staff felt supported to learn and develop. Staff felt confident to raise any concerns or make suggestions knowing they would be listened to by a responsive management team.

The provider and registered manager conducted regular audits of the quality of the service to make sure people received safe. effective care. They also responded to feedback they received from people to improve the standards of care and identify areas of developmen

Inspection areas

Safe

Good

Updated 22 August 2018

The service was safe.

There were enough staff to support people safely. Staff had a good understanding of safeguarding and their responsibilities to keep people safe and to minimise any risks to their health and wellbeing. People received their medicines as prescribed and the provider's policies and procedures protected people from the risks of infection. Accidents and incidents were recorded and analysed to ensure that any necessary actions had been taken to keep people safe.

Effective

Good

Updated 22 August 2018

The service was effective.

People were cared for and supported by staff who had the skills and training to meet their needs. Staff understood their responsibilities under the Mental Capacity Act 2005. The registered manager understood their responsibilities under the Deprivation of Liberty Safeguards. There was a strong emphasis on people eating and drinking well. The provider worked in partnership with other healthcare professionals to ensure people's medical and health needs were met.

Caring

Good

Updated 22 August 2018

The service was caring.

Staff were very motivated and provided care with friendliness and consideration. They treated people with respect and involved them in decisions about their daily care. Families were encouraged to spend quality time with their relatives and staff helped people share special moments with those who were important to them. People's individuality and diversity were respected.

Responsive

Good

Updated 22 August 2018

The service was responsive.

People and their families were involved in planning how they were cared for and supported. Staff had time to respond to people's emotional and social needs and encouraged people to maintain their interests and to socialise. People knew how to complain and the registered manager was open and responsive to any complaints that were made.

Well-led

Good

Updated 22 August 2018

The service was well-led.

The registered manager had the skills and ability to provide effective leadership and people and staff spoke positively about their management of the home. There was a clear vision and positive culture in which staff felt supported to learn and develop. Staff understood the provider's values and worked in accordance with them to deliver person centred care. People and their relatives were encouraged to share their opinions about the quality of the service.