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Inspection Summary


Overall summary & rating

Good

Updated 5 April 2018

Harvey House provided residential care for up to 40 older people some of whom were living with dementia. At the time of our inspection there were 39 people using the service.

At the last inspection on 30 December 2015 the service was rated Good. At this inspection the service remained Good.

The service had a registered manager. 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.

There were enough staff on duty to meet people needs. Staff responded promptly when people requested support from them. We saw that staff were deployed effectively to meet people's needs in a timely manner. We also found that the provider had safe recruitment practices. This assured them that staff were safe to support people before they commenced their employment with the service.

People's medicines were managed in a safe manner. They were supported to have their medicines as prescribed by their doctor. There was sufficient stock of medicines that people required. Medicines were only administered by staff who were suitably trained to complete this task.

People were safe at the service because staff knew their responsibilities to keep people safe from avoidable harm and abuse. Staff knew how to use the provider's policies to report any concerns that they had about people's welfare.

Staff had the skills and experience to support people effectively. They had access to an induction when they started their role and had regular training to maintain their skills and knowledge.

The provider had plans to make improvements in the environment to ensure people had access to the garden as well as the communal areas.

People were supported in accordance with relevant legislation and guidance. Staff we spoke with demonstrated a good understanding of Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). People's liberty was not deprived unlawfully. This was because the provider had made applications to the local authority for DoLS authorisation for people that required this.

People received sufficient nutrition and hydration. They had access to a variety of meals, snacks and drinks. There were plans to improve the variety and quality of the meals provided.

People's health needs were met. This was because staff supported them to access health care professionals promptly. Staff also worked with other professionals to monitor and meet people's needs and support them to remain well. Where people were at the end of their life staff supported them to remain comfortable and free from pain.

Staff treated people with kindness and compassion, providing care with dignity and respect. People, their relatives and friends spoke positively about the caring attitudes of staff. The registered manager created a culture which promoted kindness and openness.

People had access to a variety of activities of their choice. This included group activities and spending individual time with staff. They were also support to maintain contact and spend quality time with their friends and family.

The provider had systems in place to obtain feedback about the service. The registered manager looked at different methods to ensure relatives and friends were able to make comments about the service.

People, their relatives and friends were confident that the service was well-managed. Staff felt supported by the registered manager to meet the standard expected of them. The registered manager was approachable.

The provider had systems in place to monitor the quality of the service. We saw that they used this to drive continuous improvement in the service.

Inspection areas

Safe

Good

Updated 5 April 2018

The service remains safe

Effective

Good

Updated 5 April 2018

The service remains effective.

Caring

Good

Updated 5 April 2018

The service remains caring.

Responsive

Good

Updated 5 April 2018

The service remains responsive.

Well-led

Good

Updated 5 April 2018

The service remains well-led.