We considered our inspection findings to answer the questions we always ask; ' Is the service safe?
' Is the service effective?
' Is the service caring?
' Is the service responsive?
' Is the service well-led?
This is a summary of what we found.
Is the service safe?
The people who lived in the home and their relatives were pleased with the care provided and felt that their views were respected and listened to.
The people told us they were kept safe and were listened to. We saw that people were free to go about their daily routine as they wished. One person told us, 'The staff are very caring'. Another person said, 'It's beautiful here'.
Recruitment processes showed that staff employed to work at the home were suitable and had the skills and experience needed to support the people living in the home.
The registered manager and the staff we spoke with understood the importance of safeguarding vulnerable adults, could identify potential abuse and knew how to report any incidents of abuse.
Staff understood about the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and how they would be put this into practice. No DoLs applications had been submitted or were in place at the time of this inspection.
Is the service effective?
People told us that they were happy with the care they received. They told us that the registered manager and staff had asked them what their needs were and how they would like them met. A relative said, 'Mum is well looked after.' Another relative said, 'They keep people as active as they can'.
Care records confirmed people's preferences and needs had been recorded and care and support had been provided in accordance with people's wishes. One person said, 'I'm waited on hand and foot.'
People and their relatives were involved in the assessment of their needs and one person said, 'We talk about how mum likes things done and they do their best to accommodate'.
People and their relatives told us they were happy to discuss their personal preferences with staff. They said that staff monitored them and obtained medical help for them if they were unwell. We saw how the service had referred a number of people to health professionals when their health had deteriorated. This meant people were supported to maintain good health, have access to health care services and received ongoing support.
Is the service caring?
The people we talked with told us they felt that their wishes were respected and they were helped to live their lives as they wished. Staff took the time to find out people's personal social histories. Staff we spoke with knew people's needs well and how they wished to be cared for. This meant that staff cared about the person as an individual and showed concerned about their well-being.
People and their relatives were encouraged to make their views known about their care. People that we talked with told us that they found the registered manager and the staff easy to approach about any issues they had. This meant that people were listened to and they felt that their views mattered.
Is the service responsive?
People's needs had been assessed before they moved into the home so that arrangements could be made to meet them.
People and their relatives told us they regularly talked with the staff about what was important to them. They had talked about such things as the time they got up in the morning and how they liked their food prepared. They told us that staff had changed their care routines as a result.
Records confirmed people's preferences, interests, wishes and needs had been recorded.
People had access to activities that were important to them and had been supported to maintain relationships with their friends and relatives.
Is the service well led?
The registered manager and the staff demonstrated values that included involvement, compassion, dignity, respect and independence. Staff we spoke with showed they understood those values as they discussed their role and responsibilities in their work. This meant the service promoted an open culture that was centred on the individual and empowered them to take control of their life as they were able.
Concerns were listened to. The service hadn't received any complaints but people told us they would, 'Go straight to the manager' if they were unhappy.
The provider had systems in place to assess and monitor the home so that potential improvements in meeting people's care needs could be identified and put into place.