25 September 2018
During a routine inspection
The service had a registered manager. A registered manager is a person who has registered with the CQC 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.
The service had changed their legal company status since the last inspection of January 2017. However, the changes did not affect the direct ownership or senior management team. At the inspection of January 2017, the service was rated as good overall with no breaches of the regulations.
The service used the local authority safeguarding procedures to report any safeguarding concerns. Staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse.
Recruitment procedures were robust and ensured new staff were safe to work with vulnerable adults.
The administration of medicines was safe. Staff had been trained in the administration of medicines and had up to date policies and procedures to follow.
The home was clean, tidy and homely in character. The environment was maintained at a good level.
Electrical and gas appliances were serviced regularly. Each person had a personal emergency evacuation plan (PEEP) and there was a business contingency plan for any unforeseen emergencies.
There were systems in place to prevent the spread of infection. Staff were trained in infection control and provided with the necessary equipment and hand washing facilities. This helped to protect the health and welfare of staff and people who used the service.
People were given choices in the food they ate and told us it was good. People were encouraged to eat and drink to ensure they were hydrated and well fed.
Staff had been trained in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The registered manager was aware of their responsibilities of how to apply for any best interest decisions under the Mental Capacity Act (2005) and followed the correct procedures using independent professionals.
New staff received induction training to provide them with the skills to care for people. Staff files and the training matrix showed staff had undertaken sufficient training to meet the needs of people and they were supervised regularly to check their competence. Supervision sessions also gave staff the opportunity to discuss their work and ask for any training they felt necessary.
We observed there were good interactions between staff and people who used the service. People told us staff were kind and caring.
We saw from our observations of staff and records that people who used the service were given choices in many aspects of their lives and helped to remain independent where possible.
We saw that the quality of care plans gave staff sufficient information to look after people accommodated at the care home and the plans and care regularly reviewed.
People were treated with respect and dignity.
People were treated in accordance to their age, gender, sexuality and religion.
Plans of care were individual, person centred and reviewed regularly to help meet their health and social care needs.
We saw that people could attend activities of their choice and families and friends were able to visit when they wanted.
Audits, surveys and meetings helped the service maintain and improve their standards of support.
People thought the registered manager was approachable and supportive.