19 June 2018
During a routine inspection
The service had a registered manager. 'A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection carried out in December 2017 we found two breaches of regulations. Following the inspection the provider sent us an action plan telling us how they would address the breaches. At this inspection we found the actions taken had addressed the breaches and there were no new breaches.
We found systems and processes in place to keep people safe. These included ensuring risk assessments had been carried out to mitigate risk. Medicines were stored and administered as prescribed. Accidents and incidents were recorded and investigated and where possible actions were taken to ensure people’s safety. Staff were aware of their duty of care to protect people from abuse and were trained to recognise the signs of abuse. Risk of infection was mitigated as the provider had systems in place to ensure the premises were clean and fresh and staff had access to protective clothing.
There was sufficient numbers of appropriately recruited and trained staff to meet people’s needs and wishes. People had a pre-admission assessment to ensure the service could meet their needs. A care plan detailing their needs was drawn up and reviewed with the person or their relative where possible. This was done on a regular basis. The care plan gave staff clear directions on how to care for people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.’
People’s nutrition was promoted by ensuring fresh nutritious food was available and by referring people who had difficulty in eating to the appropriate health care professions.
People’s physical and mental health was promoted by working closely with health and social care professionals.
Care was delivered by staff who were caring, kind and compassionate. Independence was promoted and people had a variety of ways of making their needs and wishes known to the manager and staff. This included regular meetings.
Care was personalised and responsive to individual needs and wishes. There was a complaints process in place and people knew how to use it. The service received many complements on the service they offered.
The service was well led. The registered manager had a quality monitoring system in place. Aspects of the service such as risk to people, administering medicines and staff training were regularly reviewed. People told us the registered manager was approachable and easy to talk to.