Is the service safe? People were treated with respect and dignity by the staff. People we spoke with told us that they felt safe living at the home. One person said: 'I do. I feel safe. I know I've people I can depend on.'
The service followed the local authority safeguarding procedure and staff understood how to safeguard the people they supported. Systems were in place to make sure that managers and staff learned from events such as accidents and incidents. This reduced the risks to people and helped the service to improve.
The home had suitable policies and procedures and training in place in relation to safeguarding, the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). DoLS protect the human rights of adults who live in a registered care home or a hospital, lack capacity to consent to arrangements proposed for their care or treatment and for whom such arrangements amount to a deprivation of liberty. DoLS are not considered when a person is detained under the Mental Health Act 1983 (as amended by the Mental Health Act 2007). No authorisations had needed to be in place at the time of our visit. Relevant staff had been trained to understand when an application should be made, and knew how to submit one.
Is the service effective?
People's health and care needs were assessed with them, and they were involved in writing their plans of care. Specialist dietary, mobility and equipment needs had been identified in care plans where required. People said that they had been involved in writing them and they reflected their current needs. One person told us: 'I have a say in my care plan. I can change it.'
Is the service caring?
People were supported by caring staff. We saw that support workers explained care and encouraged people. One person told us 'You couldn't get any better care.' Another person said that 'It's lovely living here.'
People who used the service and their relatives and representatives who were involved with the service completed an annual satisfaction survey. Issues or concerns raised were addressed by the provider.
People's preferences, interests, aspirations and diverse needs had been recorded. Care and support had been provided in accordance with people's wishes.
Is the service responsive?
People enjoyed a range of activities in and outside the service regularly. Some people accessed the community independently. The service supported people to be involved with their local community.
People were aware how to make a complaint, with support if necessary. People could therefore be assured that appropriate action would be taken.
Is the service well-led?
The service worked in collaboration with other agencies and services so that people received effective care.
The service had an effective quality assurance system. We saw records which showed that the manager addressed any issues. As a result the quality of the service improved.
Staff told us they were clear about their roles and responsibilities. Staff had a good understanding of their roles. This helped to ensure that people received a good quality service.