At the time of the inspection there were 34 people living at the home. Due to their health conditions and needs not all people were able to share their views about the service they received. During our visit we spoke with five people who used the service and observed their experiences. We spoke with the registered manager, the deputy manager, six care staff, five relatives and two visiting social work professionals.We considered all the evidence we had gathered under the regulations we inspected. We used the information to answer the five 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 have found.
Is the service safe?
The provider had effective systems in place to identify, assess and manage risks to the health, safety and welfare of people who used the service and others.
We saw risk assessments had been completed for people who were assessed as being at risk of falls.
We saw people were safe and protected from abuse. Staff demonstrated to us an understanding of the types of abuse and how they should be reported. All staff had received training in the safeguarding of vulnerable adults and whistleblowing.
The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. We saw policies and procedures were in place and the manager and deputy manager had received training in the Mental Capacity Act 2005 (MCA) and DoLS.
We saw there were sufficient members of suitably qualified and experienced staff on duty to meet people's needs.
Is the service effective?
People were treated with respect and dignity. People who used the service were asked about the support they received and if they understood their rights. They were given the information they needed to make an informed decision about their care.
People we spoke to were aware of their rights and what to do if there were any problems. One person told us, 'I understand my rights. I can do anything I want'.
Is the service caring?
People's preferences, interests and needs were recorded in people's care records. Staff were able to give examples of these when we spoke to them and displayed a good knowledge of the people living at the home and what their likes or dislikes were.
People's health and care needs were assessed with them and they were involved in this process.
People we spoke with were positive about the care they received from the service.
One person who used the service said, "It is very nice here. The girls (staff) are lovely to me."
Is the service responsive?
There was an effective system in place to record and monitor complaints. Complaints were taken seriously and responded to appropriately.
We saw evidence that care staff identified changes in people's needs and acted to make sure they received the care they needed. For example, there was evidence that where one person's health had declined an immediate referral was made to the correct medical professional for advice and support.
Is the service well led?
We saw there was a registered manager in post. Staff told us they would immediately report any concerns they had about poor practice and were confident these would be addressed. People's views were gathered and listened to. The service had a quality assurance system in place that included the use of surveys from people who used the service.