About the serviceLavender Fields Residential Home is a residential care home providing personal and nursing care to 62 older people at the time of the inspection. Lavender Fields accommodates up to 75 people a purpose built building.
People's experience of using this service and what we found
People told us they felt safe living at the service, however, potential risks to people's health and welfare had not been consistently assessed. Staff did not have guidance to mitigate risks and keep people safe with consistent care.
Accidents and incidents had not been consistently recorded and analysed to identify patterns and trends to reduce the risk of them happening again.
Care plans were not always completed to reflect the care being given to people. However, staff knew people well and people told us staff supported them in the way they preferred. Some audits had been completed but they did not cover all aspects of the service. The audits completed had not identified the shortfalls found at this inspection.
People's end of life wishes were not always discussed or recorded, this meant that people may not have been receiving the care they wanted at the end of their life. However, staff worked with the GP and district nurses to support people at the end of their life.
Medicines were administered, stored and managed safely. Audits identified no errors in the months before the inspection.
There were sufficient numbers of staff on duty. Staff had been recruited safely with all the appropriate checks in place.
People had choice over their care and support and their choice, dignity and privacy was respected by staff. People told us staff were kind and caring and treated them well.
People met with the registered manager before they moved into service to check staff could meet their needs. People were supported to eat a balanced diet, people had a choice of meals, people's dietary needs were catered for. However, people told us that the food within the service was not always as good as it could be and improvements could be made.
Staff supported people to be as independent as possible and express their views about the service and their care. People's health was monitored, and they were referred to health professionals when required.
The service was clean, tidy and homely and suited to the needs of people living there. People had individualised rooms with their personal items and favourite colours and chose their decoration.
There was an open and transparent culture within the service, people and staff were asked for their views and opinions about the service and these were acted on. There had been no formal complaints in the last year, but people told us they knew how to complain.
Rating at last inspection:
This service was registered with us on 16th July 2018 and this is the first inspection.
Why we inspected:
Scheduled inspection based on timescale for unrated services.
Enforcement
We have identified breaches in relation to consent to care, safe care and treatment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.