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Inspection report

Date of Inspection: 10, 11 April 2014
Date of Publication: 8 May 2014

Overview

Inspection carried out on 10, 11 April 2014

During an inspection to make sure that the improvements required had been made

We spoke with four people using the service, one relative, one friend and three staff including nursing, care, the deputy manager and the registered manager. At the time of the inspection there were 36 people using the service.

The inspection was carried out by an inspector over two days. They helped 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 want to see the evidence supporting our summary please read the full report.

Is the service safe?

People told us they felt safe and well cared for.

The home was clean and tidy and people were able to personalise their rooms.

The medicines prescribed to people using the service were stored in a secure appropriate manner. The home used a computerised hand held system to record when medicines were taken by people using the service. We saw that the majority of records were correct but we did find that for one person there were more tablets for one medicine in stock than stated on the record system. We saw that the majority of creams and ointments that had a limited use once opened had the date of first use written on the packaging to ensure they were disposed of appropriately.

Systems were in place to make sure that staff reported any incidents and the manager reviewed and investigated any issues. Processes were in place for the manager and staff to learn from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. The home had policies and procedures in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

Is the service effective?

People's health and care needs were assessed and they and/or their relatives were involved in the writing of the care plans which included any specialist dietary, mobility and equipment needs. The care plans, dependency assessments and risk assessments were regularly reviewed and were up to date to ensure people received appropriate care and support.

Is the service caring?

People were supported by kind, attentive staff who treated with respect and dignity. We saw they were supportive and encouraged people to be actively involved in their daily tasks and care. One person said, "The staff are really nice and never rush you". A visitor told us "The staff are superb with my friend and they give them time and encouragement".

Visitors confirmed they were able to see people in private and were able to visit throughout the day.

People's preferences, interests, and diverse needs had been recorded and care and support had been provided in accordance with people's wishes.

Is the service responsive?

People took part in a range of activities in and outside the service regularly. The home had its own adapted minibus, which helped to keep people involved with their local community. The activities were based upon people's interests and were responsive to individual needs.

The service had a complaints policy and procedure. The two complaints we looked at had been responded to and resolved. The relatives and visitors we spoke with were aware of how to raise any concerns but all said they would not need to make any complaints. One person said "I am really happy with the care here and would never have to make a complaint".

Is the service well-led?

The service had a quality assurance system in place. Records seen by us showed that any identified issues were addressed promptly. As a result the quality of the service was continuingly improving.

An annual survey was sent out to people using the service and their relatives and the results were used to identify any areas for improvement.

Regular audits of the care plans and risk assessments were carried out and any identified actions had a completion date. This helped to ensure that people received a good quality service at all times.