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Inspection Summary


Overall summary & rating

Good

Updated 21 March 2019

About the service: Seale Pastures is a residential care home that provides personal care for up to 40 older people who may also be living with dementia. At the time of our inspection there were 23 people receiving a service.

People’s experience of using this service:

On our last inspection we identified improvements were needed with how the provider identified improvements, recognised and reported safeguarding concerns, managed medicines safely and made suitable applications to ensure restrictions were lawful.

On this inspection we saw improvements had been made in these areas. Further improvements were needed to ensure it was clear how capacity was assessed and to ensure people on respite care had a suitable care plan in place.

• People could make decisions about how they wanted to be supported. Where people lacked capacity, assessments had been completed, although clearer information needed to be recorded about how capacity had been assessed.

• Where people received respite care, a comprehensive plan had not always been developed to record how they wanted to be supported.

• Quality monitoring systems were now in place to ensure the quality of the service was monitored and improvements were made.

• People felt they were safe and had the right support and care from staff. Staff now knew how to raise concerns if they suspected people were being harmed or at risk of abuse. Staff were confident their concerns would be acted upon.

• Improvements had been made with how medicines were managed. There were safe systems in place to ensure people had their medicines as prescribed.

• People enjoyed their meals and their dietary needs had been catered for. Additional support was given to people who needed help or a had a specialist diet.

• Infection control measures were in place to protect people from the risk of infections.

• People could pursue their hobbies and interests. There were opportunities to take part in activities within the home.

• People felt there were enough staff to meet their needs and who treated them with respect and dignity.

• People felt that staff knew how to support them safely and had received training to develop their skills and knowledge.

• People received regular check-ups to maintain their health and when unwell, staff liaised with health care professionals to address their health care needs.

• People could raise concerns about the quality of the service and felt confident these would be addressed.

• The registered manager worked in partnership with health and care professionals to bring about improvements within the service.

• The registered manager notified us of significant events which helped us the monitor the action they had taken.

Rating at last inspection: Requires Improvement.

Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection the service had improved their rating to Good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 21 March 2019

The service was safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 21 March 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 21 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 21 March 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 21 March 2019

The service was well-led

Details are in our Well-Led findings below.