28 July 2014
During an inspection in response to concerns
This inspection was carried out by two inspectors. We arrived at the home at 5.30am so that we could see what night staffing was available.
We asked our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?
Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people who lived at the home, the manager, staff members and from looking at records. If you want to see the evidence supporting our summary please read the full report.
Is the service safe?
People were treated with respect and dignity by staff and told us they felt safe.
The service was safe, clean and hygienic and equipment was well maintained.
The registered manager set staff rotas, taking people's care needs into account when making decisions about staff numbers. However, we found some issues with the number of staff that were made available, particularly during nights.
Is the service effective?
Where possible, people's care records were assessed with their involvement and with the involvement of relatives and other healthcare professionals
Is the service caring?
People were supported by kind and attentive staff. We saw care assistants showed patience and gave encouragement when supporting people. People we spoke with said staff were kind and caring.
We found care records were clear and concise, with details of care and treatment that the person required. However, we found there was a lack of information in care records around people's life history, their preferences and choices.
Is the service responsive?
On the day of our visit we observed people watching television, singing and chatting with staff and other people who lived at the home.
People knew how to complain if they were unhappy. People we spoke with said the manager and staff members were approachable. One person who lived at the home told us; 'It's nice here. I've been here for 18 months now and never want to leave. I feel safe and cared about'.
Is the service well-led?
The service worked well with other agencies and services to make sure people received the most suitable care. This included multi-agency work with the local authority, district nurses and doctors.
Staff told us they were clear about their roles and responsibilities and any tasks delegated to them. Staff had a good understanding of the ethos of the home and said they felt supported by the manager.