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Eastleigh Care Homes - Minehead Limited Good

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Inspection report

Date of Inspection: 20 August 2014
Date of Publication: 16 October 2014
Inspection Report published 16 October 2014 PDF

Overview

Inspection carried out on 20 August 2014

During a routine inspection

This service had been registered since 18 October 2013 providing both nursing and residential care. Previously the nursing accommodation and residential accommodation had been registered as two services on the same large site.

We heard the unification of the two services had enabled people to access a range of care as their needs changed. Staff were also able to access an increased range of training and experience.

The service was managed overall by the registered manager. The deputy manager took particular responsibility for the care of people and staff in the residential building. During the inspection we met with the clinical lead for the provider and were told about their role in ensuring the standards of nursing and care throughout the home.

Our inspection set out to answer five questions:

Is the service safe?

Is the service caring?

Is the service responsive?

Is the service effective?

Is the service well-led?

Below is a summary of what we found. It is based on our observations during the inspection, discussions with people living at the home, and with the staff supporting them, and on looking at records.

Is the service safe?

People told us they felt safe. Staff treated people with kindness and respect. Safeguarding procedures were in place and action was taken to keep people safe. Arrangements were in place to make sure that the registered manager and staff learnt from incidents and investigations.

Staff we spoke with were aware of the Mental Capacity Act 2005 and how to support people who were unable to make decisions for themselves. Staff were able to tell us about how they had involved other people in making decisions when someone lacked the capacity to make a decision for themselves.

CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards. We found the location to be meeting the requirements of the Deprivation of Liberty Safeguards. Relevant staff have been trained to understand when an application should be made, and how to submit one. People's rights were therefore properly recognised, respected and promoted. People who needed extra support to make decisions were able to use an independent advocate.

There were systems in place to ensure that medicines were safely stored, administered and disposed of. We heard medicines were only administered by registered nurses or senior staff who had completed appropriate training and been assessed as being competent to carry out the task.

Is the service caring?

People were supported by kind and caring staff. All of the people we spoke with told us that they were happy at the home. One person told us �I couldn�t have come to a better place. The carers care, the management is good and the food is excellent.� Another person said �We are really looked after here. Staff are great. We do more or less whatever we like.� A relative talked to us at length about the care their family member received. They said �They know my Mum here. I thought this would be the right place for her and I was right.�

The provider conducted annual satisfaction surveys. The most recent survey showed high levels of satisfaction with the quality of care.

Is the service effective?

The service provided care in line with people's wishes and individual needs. This was recorded in care plans. People�s health and care needs were assessed with them, and where possible they signed to show that they were involved in deciding the best care to meet their needs. Staff were trained in appropriate areas of care.

Is the service responsive?

The service responded to people�s changing needs. When people were unwell or they needed specialist assessment, the provider sought advice from community health and social care professionals.

There were residents� meetings where people could suggest changes to the manager. We saw notes of these meetings that showed that the manager listened and made changes where they could.

People told us they felt able to make a complaint if they needed to. We saw when a complaint was made it was addressed and taken seriously.

Is the service well-led?

The service was led by registered manager who was supported by a deputy manager. Both managers knew the people living in the home very well and were actively involved in ensuring they received safe and effective care.

The service had a system of regular quality assurance that monitored care and showed where it could be improved.

Staff understood their responsibilities. They felt well supported by the provider and the registered manager. We heard from people who lived in the home and staff that the manager was accessible and �always listened.�