Archived: High Worple

During the inspection we spoke with two people who used the service. We spent time observing and we spoke with two care workers, and the registered manager. Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at.

If you want to see evidence that supports our summary please read the full report. This is a summary of what we found:

Is the service safe?

People who used the service told us they felt safe and staff were friendly. We saw staff interact with people who used the service in a respectful manner. The relative of the person who used the service told us they were confident people were safe. Staff were clear about their roles and responsibilities and felt supported by management staff. The management team had systems in place to support workers.

The home had systems in place to identify assess and manage risks relating to the health, welfare and safety of people who used the service.

The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards (DoLS), which applies to care homes. The registered manager knew when an application for deprivation of liberty would need to be submitted for authorisation.

Is the service effective?

People told us they were happy living in the home and received the care and support they wanted and needed. Comments from people about the home included it was 'nice' and a relative we spoke to described the staff as 'wonderful people'. Staff told us there was good communication amongst staff about the service and people's needs, which enabled them to carry out their roles effectively in providing the care and support people needed.

People's care needs had been assessed and care and treatment were planned and delivered in a way that promoted people's safety and welfare. Risk assessments had been carried out where necessary. Care plans had been regularly reviewed with involvement from people and those who were important to them.

Is the service caring?

We saw people were supported by kind, attentive staff who approached people in a friendly manner. People who used the service were seen laughing and chatting with staff. People living in the home told us staff were kind. The relatives we spoke to said people seemed to be well cared for and were treated with respect by staff.

Staff were knowledgeable regarding the specific care needs of people and respected the choices people made. Staff had an understanding of people's cultural and religious needs and where appropriate, arrangements had been made to meet these needs. People's privacy and dignity were respected. People took part in a variety of activities of their choice.

Is the service responsive?

People received individualised care that was responsive to their interests and preferences. People told us they were listened to and felt involved in decisions about their care. People's care and health were monitored closely. Written notes about people's health and care were completed by staff.

People's health, safety and welfare were protected as they received the advice and treatment they needed from a range of health and social care professionals. People who used the service told us if they had any concerns or complaints, they

would feel comfortable raising them with staff. People had the opportunity to provide feedback about the service.

Is the service well-led?

The home had an experienced registered manager who was supported by the regional manager. Monitoring checks of the quality of the service were carried out. These included checks of the care provided to people and the quality of their environment. Improvements were made when needed. Staff meetings took place regularly so staff views about the service were taken into account.

Care records indicated that the needs of people had been attended to. The care records contained assessments, care plans and details of reviews. There was documented evidence that the healthcare needs of people had been attended to and there were records of appointments with healthcare professionals.

We observed that there were appropriate arrangements in place to manage medicines and staff were aware of the importance of ensuring that medicines were administered and recorded accurately.

We noted that the home was clean and welcoming.

Staff we spoke with told us that they enjoyed working at the home and felt supported by the team.

Staff demonstrated that they were aware of what action to take when responding to allegations or incidents of abuse and had received training in safeguarding people.