• Care Home
  • Care home

Danesmoor Residential Care Home

Overall: Good read more about inspection ratings

45 Helmshore Road, Haslingden, Rossendale, Lancashire, BB4 4BW (01706) 216862

Provided and run by:
Botany House Limited

All Inspections

2 November 2021

During an inspection looking at part of the service

About the service

Danesmoor Residential Care Home is a residential home registered to provide accommodation and personal care for 24 people aged 65 and over. At the time of the inspection, 16 people lived at the home. The home is set in its own grounds in a residential area of Haslingden.

People’s experience of using this service and what we found

People told us they felt safe living in the home and staff were kind and caring. Staff understood how to safeguard people from abuse and report any concerns. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People were protected from the risks associated with the spread of infection. Medicines were managed safely in the home. Whilst police checks and references had been obtained prior to new staff working in the home, there were gaps in one staff member’s history of employment. The manager assured us this issue would be addressed.

Effective systems were in place to ensure lessons were learnt from any incidents and the registered manager understood their responsibility to be open and honest when something went wrong.

All people had a care plan which detailed their needs and preferences. The registered manager had ensured all staff had ready access to up to date information about people’s needs. People were provided with appropriate activities and had access to a complaints procedure. Staff had good relationships with the people living in the home and we observed staff responding to people’s needs with kindness and respect.

The provider, registered manager and staff had worked hard to address the shortfalls found at the previous inspection and were confident the improvements would be sustained. The registered manager carried out a number of audits to check the quality of the service. They provided clear leadership and took into account the views of people, their relatives and staff about the quality of care provided. The registered manager and staff used the feedback to make ongoing improvements to the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 6 October 2020) and there were two breaches of the regulations identified in relation to the management of risks and the governance of the service. The provider completed an action plan after the last inspection to show what they would do and by when to make the necessary improvements.

Why we inspected

We received concerns in relation to the management of medicines, care practices, record keeping and the management of the home. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, responsive and well-led sections of this full report.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last inspection, by selecting the ‘all reports’ link for Danesmoor Residential Care Home on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

9 September 2020

During an inspection looking at part of the service

About the service

Danesmoor Residential Care Home is a residential home registered to provide accommodation and personal care for 24 people aged 65 and over. At the time of the inspection, 17 people lived at the home. Some people were living with dementia.

People’s experience of using this service and what we found

People told us they were satisfied with the care provided and had no complaints. The environment was clean in all areas seen and people had personalised their rooms with their own belongings.

There were sufficient staff on duty, and they responded to people’s needs in a timely manner. However, people’s care plans had not been updated and staff employed by an agency had no access to written information about people’s needs and preferences, including risks associated with their care. There was no evidence to indicate staff had received training on the operation of the electronic care planning system and records of personal care had not been accurately maintained. There was limited evidence to show new staff had completed induction training and the provider’s mandatory training, which includes safeguarding vulnerable adults.

There was a log of accidents and incidents in April 2020, however, there were no further accident records or any analyses. This meant it was difficult to determine if any lessons had been learned and if any learning had been passed on to the staff team.

There were sufficient supplies of personal protective equipment, however, two ancillary staff were not wearing face masks and one care staff was wearing a face mask inappropriately. The manager gave assurances this issue would be addressed immediately.

Overall, there were significant shortfalls found in the record keeping and quality monitoring systems. At the time of the inspection, the new manager had been in post for three days and along with the provider, she was committed to making the necessary improvements to the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The rating at the last inspection was requires improvement (published 31 May 2019). At this inspection enough improvement had not been made and the rating remains requires improvement. This service has been rated as requires improvement on the last three consecutive occasions.

Why we inspected

This inspection was prompted in part due to concerns received about the operation of the service. A decision was made for us to inspect and examine any risks to people’s health and safety and the management systems. This report only covers our findings in relation to the key questions Safe and Well-Led.

We also looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Danesmoor Residential Care Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We identified two breaches in relation to record keeping and the ongoing monitoring of the service and a failure to update care plans to reflect current risks to people’s health and safety.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.

15 April 2019

During a routine inspection

About the service:

Danesmoor Residential Care Home is a residential home registered to provide accommodation and personal care for 24 people aged 65 and over. At the time of the inspection, 19 people lived at the home. Some people were living with dementia.

People’s experience of using this service:

People told us they felt safe and staff were kind and caring. Staff understood how to safeguard people from abuse and report any concerns.

People said the staff were mostly available when they needed assistance. We noted there were no formal on call arrangements during the night and care staff had extra duties to manage the laundry and organise tea. We therefore recommended the provider review their staffing arrangements.

The provider had an effective recruitment procedure, which ensured only suitable staff were employed in the home. People were satisfied with the way they were supported to take their medication. The provider had met the requirements of the warning notice issued following the last inspection in respect to the management of medicines. All areas of the home had a satisfactory standard of cleanliness.

The senior staff carried out risk assessments to enable people to retain their independence and receive care with minimum risk to themselves or others. However, the electronic care planning system did not always allow for specific information to be added about individual needs. We also noted there were further limitations with the system in respect of people’s care plans. The manager explained additional training on the care planning system had been arranged to resolve these difficulties.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. However, the systems and documentation in the service did not always support this practice. Following the inspection, the registered manager sent us an action plan which assured us action would be taken to address these issues.

The provider had made appropriate arrangements to ensure staff completed relevant training. The manager had devised a schedule for one to one supervision meetings with staff. People were supported to eat a nutritionally balanced diet. Staff monitored people’s healthcare needs and ensured people had access to healthcare services, as necessary.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Our observations during the inspection, were of positive and warm interactions between staff and people who lived in the home. Daily activities were limited, however, events were celebrated in the home and professional singers and entertainers were booked on a regular basis. People were aware of how they could raise a complaint or concern if they needed to and had access to a complaints procedure.

Although we identified a number of areas which required improvement, the manager was aware of the shortfalls and was committed to the ongoing development of the service. We will assess all planned improvements on our next inspection of the home.

Rating at last inspection:

At the last inspection the service was rated requires improvement. (published 25 January 2019). This service has been rated requires improvement at the last two inspections.

Why we inspected:

This was a planned comprehensive inspection.

Follow up:

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

2 May 2018

During a routine inspection

We carried out an unannounced inspection of this service on 5 and 9 June 2017 and found breaches of legal requirements because there were shortfalls in the management of potential risks of harms and abuse within the service and medicines were not safely managed. There were also concerns around the provision for seeking consent from people and failure to undertake mental capacity assessments.

We took action and served a requirement notice on the registered provider in respect of these breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. An action plan was received from the registered manager to show what actions would be taken to meet this regulation.

After the last inspection, we received concerns about staffing levels in the home and during this inspection on 2 May 2018 we wanted to check staffing levels were adequate to ensure people's needs were being met.

We undertook this latest inspection on 2 May 2018 to check that the provider had taken action to meet legal requirements and to comprehensively inspect the service against all of the areas services are required to comply with. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for 'Danesmoor Residential Care Home' on our website at www.cqc.org.uk.

Danesmoor Residential Care Home offers residential and nursing care for up to 24 people and is located in Haslingden in the county of Lancashire. At the time of this inspection, 14 people were using the service. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

There was registered manager in place. 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 time of the inspection on 2 May 2018, the registered manager was working between two services owned by the provider. The other service was a care home near to Danesmoor and the registered manager split their time evenly between the two services.

At this inspection, we found that the service had taken some action to comply with the requirement notices. People were asked for their consent before care and support was provided and where people did not have capacity to make decisions, the service complied with the law around this and acted in people’s best interests.

People’s needs and risks were properly assessed and documented so that staff were aware and could act accordingly. However, insufficient action had been taken to resolve the medicine’s issue seen at the last inspection on 5 June 2017 and there is a continuing breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 around this. You can see what action we told the provider to take at the back of the full version of this report.

At the inspection in June 2017, we made a recommendation around the provision of suitable activities so that people were stimulated in the home. Although we saw that improvements had been made and an activities coordinator had been appointed, other staff said that they often didn’t have the time to assist with activities because of other duties. We have made a further recommendation in the report around the need to continue with these improvements.

During this inspection, we observed the atmosphere in the home was calm and staff were not rushed when responding to people's needs. We were satisfied that there were enough staff on duty. Feedback from people, their relatives and care workers also indicated that at times when the service was near to capacity (24 people), there may not be enough staff in the home. The registered manager and provider told us there were enough staff and that additional staff would be deployed if more people were to stay at the home.

Regular checks were being conducted to test fire equipment to ensure they were in working order. The home had a fire risk assessment in place and any actions that needed to be taken had been acted upon. Staff had undertaken fire safety training and usage of fire equipment. Staff spoke positively about the training received.

People using the service said they felt safe and that staff treated them well. Safeguarding adult's procedures were robust and staff understood how to safeguard people they supported. There was a whistle- blowing procedure available and staff said they would use it if they needed to. Appropriate recruitment checks took place before staff started work.

Systems were in place to monitor the service. Checks and audits were carried out by the registered manager and provider. Records showed any action that needed to be taken to make improvements to the service were noted and acted upon. However the checks and audits did not identify the issues in relation to the medicines issue and the lack of suitable activities seen at this inspection.

The ratings for the key questions of safe, responsive and well led at this inspection remain 'Requires Improvement'. There is a continuing breach of the regulations around safe medicines practices, insufficient improvement was noted with the provision of activities and systems and processes that have been implemented have not been operational for a sufficient amount of time for us to be sure of consistent and sustained good practice.

5 June 2017

During a routine inspection

We carried out an inspection at Danesmoor Residential Care Home on 05 and 09 June 2017. The first day was unannounced.

Danesmoor Residential Care Home provides accommodation and personal care for 24 older people. The service does not provide nursing care. Car parking is available at the front of the home. There are comfortable lounges, dining rooms and a conservatory. Various aids and adaptations are provided to support people to maintain their independence in addition to assisted bathing facilities. There is a passenger lift to the upstairs bedrooms. At the time of our visit there were 20 people who lived in the home.

At the time of our inspection the service did not have a registered manager. The registered manager left a few months before our inspection. An interim manager had been in post since December 2016 and was in the process of applying to be registered by the Care Quality Commission (CQC). 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.

We last inspected Danesmoor Residential Care Home on 19 and 20 May 2015 and found the service was meeting regulations and was rated overall as good.

During this inspection we found the service to be in breach of three regulations under the Health and Social Care Act, 2008 (Regulated Activities) Regulations 2014. The breaches were in respect of Regulation 11, seeking consent, and Regulation 12, safe care and treatment. This included shortfalls in the effective management of risks of harm and abuse within the service, lack of a care plan and risk assessments for a person and a failure to implement systems and processes for seeking consent and undertaking mental capacity assessments. We also made a recommendation in respect of the provision of meaningful day time activities. You can see what action we told the registered provider to take at the back of the full version of the report.

Feedback from people and their relatives regarding the care quality was positive.

People who lived at Danesmoor Residential Care Home told us that they felt safe. Visitors and people who lived at the home spoke highly of the manager and the owners. They told us they were happy with the care and treatment.

There were policies and procedures in use by staff.

We looked at how the service protected people against bullying, harassment, avoidable harm and abuse. We found there were policies and procedures on safeguarding people. Staff had received up to date training in safeguarding adults; they showed awareness of signs of abuse and what actions to take if they witnessed someone being ill-treated. Safeguarding incidents had been reported to the relevant safeguarding authority. Staff had documented the support people received after incidents. Staff had sought advice from other health and social care professionals where necessary. There were risk assessments which had been undertaken for various areas of people’s needs. Plans to minimise or remove risks had been drawn and had been reviewed following significant incidents or accidents.

We received mixed responses from staff and people regarding staffing levels. The level of staffing on the day of the inspection was sufficient to ensure that the current number of people who lived at the home had their needs met in a timely manner. Systems for the recruitment of staff and to make sure the relevant checks were carried out before employment were in place.

Staff had received training in the safe management of medicines and regular medicine audits had been undertaken. On the day of the inspection we observed that oral medicines were administered safely and in a person centred manner. We found records relating to medicine administration had not always been adequately completed to show whether people had received their medicines. One person had not received the medicines they had been prescribed. Improvements were required for monitoring records for topical medicines such as creams.

People were protected against the risk of fire. Building fire risk assessments were in place including personal emergency evacuation plans (PEEP’S).

People who lived at the home had access to healthcare professionals as required to meet their needs. Staff had received induction and training. There was a policy on staff supervision and appraisals and staff had been competence checked regularly.

Care records were written in a person centred manner to include people’s needs and how they could be met however, some further improvement were required to ensure staff had all the guidance they required. We found care planning was not always done in line with the Mental Capacity Act 2005 (MCA). The service was in the process of changing to electronic care plans from paper format. People who lived at the home and their relatives told us they were consulted about their care.

People’s nutritional needs were met. Risks of malnutrition and dehydration had been assessed and monitored. Where people's health and well-being were at risk, relevant health care advice had been sought so that people could receive the treatment and support they needed. Health and safety concerns were identified and rectified.

People were not always supported with meaningful daytime activities. We made a recommendation about this in the responsive section of this report.

The provider had sought people’s opinions on the quality of care and treatment being provided. Relatives and residents meetings were held regularly and surveys had been undertaken to seek people’s opinions.

Internal audit and quality assurance systems were in place. These had been implemented to assess and improve the quality of the service and to proactively identify areas of improvement. However improvements were required. Care files, staff files, and some medicine administration records for topical medicines such as creams had not been audited. There was a lack of evidence on how the provider monitored compliance of the manager.

We received mixed responses from staff regarding the culture within the service. Staff we spoke with told us they enjoyed their work and wanted to do their best to enhance the experience of people who lived at the home. We received positive feedback from two visiting professionals and relatives of people who lived at the home.

There was a business contingency plan which demonstrated how the provider had planned for unexpected eventualities which may have an impact on the delivery of regulated activities.

The majority of people felt they received a good service and spoke highly of the staff. They told us staff were kind, caring and respectful.

We found the service had a policy on how people could raise complaints about care and treatment.

19 and 20 May 2015

During a routine inspection

We carried out an unannounced inspection of Danesmoor Residential Care Home on 19 and 20 May 2015. Danesmoor Residential Care Home provides accommodation and personal care for 24 older people. The service does not provide nursing care. At the time of the inspection there were 15 people accommodated in the home.

Danesmoor Residential Care Home is an older detached house situated in a residential area on the outskirts of Haslingden in Lancashire. It is on a main bus route and close to local amenities.

The registration requirements for the provider stated the home should have a registered manager in place. There was no registered manager in post on the day of our inspection. The Care Quality Commission has however received an application from the home manager to register as 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 previous inspection on 19 December 2013 we found the service was meeting all standards assessed. Since our last inspection visit there had been safeguarding concerns raised regarding cleanliness, mealtimes and the delivery of people’s care. Improvement meetings had been held with the registered persons and the manager, Care Quality Commission (CQC), the safeguarding team and commissioners of services.

Individual risks had been identified in people’s care plans and kept under review. However, the process of identifying the level of risk was not accurate and the action to be taken by staff to reduce or eliminate the risk had not always been documented. This meant people could be placed at risk of receiving inappropriate care. You can see what action we told the registered provider to take at the back of the full version of the report.

People had mixed views about the staffing levels but overall considered there was enough staff. People living in the home told us, “Staff are lovely; they always come when I call” and “Staff have never not come yet when called.” Visitors said, “There are enough staff and they are always busy”, “Buzzers are always answered properly; people aren’t left waiting” and “Staff are lovely but they are stretched to the limit at times.” We made a recommendation that the service seeks further advice about the provision of appropriate staffing levels taking into account the needs, dependency and numbers of people using the service and the layout of the building.

Prior to the inspection the home had been visited by the local authority infection control lead nurse and a number of recommendations had been made. We noted some action had already been taken, audits had been completed and an improvement plan was in place. We generally found the home was clean and odour free although we noted some areas were in need of attention. We made a recommendation the service followed appropriate advice and guidance regarding infection prevention and control matters.

People’s medicines were managed safely and staff had received appropriate training in this area. We found a safe and fair recruitment process had been followed for staff and appropriate checks had been completed. Staff had access to a range of appropriate training and induction to give them the necessary skills and knowledge to help them look after people properly. Most staff had achieved a recognised qualification in care. Staff told us they received the training and support they needed and spot checks were completed on their practice to ensure they were following safe procedures.

Danesmoor Residential Care Home is an older style property set in its own gardens. The home was comfortable, bright, spacious and well maintained. Improvements were ongoing and from looking at records we saw equipment was safe and had been serviced. People told us they were happy with their bedrooms and some had created a homely environment with personal effects such as furniture, photographs, pictures and ornaments. The gardens were safe, accessible and well maintained.

During this inspection people told us they enjoyed the meals. They told us, “I get sufficient food; it is very nice” and “There is a good choice of meals; there is always a cup of tea and something to eat available”. A visitor said, “They are given lovely meals; always well prepared and nicely presented.” The menus were varied and nutritionally balanced and the meals looked nutritious and appetising. Fresh fruit and hot and cold drinks and snacks were served throughout the day. People were offered a choice of meal and staff were aware of their likes and dislikes. The atmosphere was relaxed with friendly banter and encouragement throughout the meal between staff and people living in the home. People’s dietary preferences were recorded. Any risks associated with people’s nutritional needs were monitored and appropriate professional advice and support had been sought when any changes had been noted.

People living in the home told us they did not have any concerns about the way they were cared for. People said, “I am looked after properly”, “The girls are very kind; I am treated very nicely” and “Staff are gentle with me.” Staff had an understanding of abuse and were able to describe the action they would take if they witnessed or suspected any abusive or neglectful practice. Staff had received training about the Mental Capacity Act 2005 (MCA 2005) and Deprivation of Liberty Safeguards (DoLS). The MCA 2005 and DoLS provide legal safeguards for people who may be unable to make decisions about their care. We noted appropriate DoLS applications had been made to ensure people were safe and their best interests were considered.

Records had been made of healthcare visits, including GPs, district nurses and the chiropodist. We found the service had links with health care professionals and specialists to help make sure people received prompt, co-ordinated and effective care. A visitor said, “They work closely with GPs and specialists.”

People who we spoke with told us they were happy with the approach taken by staff. People said, “I’m well cared for; it is beautiful, really beautiful here”, “I am looked after really well” and “Staff are very gentle.” A visitor said, “Staff are very caring and helpful.” People were able to make choices and were involved in decisions about their day and about the care and support they needed and wanted. Staff we spoke with had a good understanding of people’s needs. We observed people being treated with respect and supported to be as independent as possible, in accordance with their needs, abilities and preferences.

Each person had a care plan that was personal to them which included up to date information about the care and support they needed. We noted care records were stored at a work station in the lounge which meant information about people could potentially be seen by others. We discussed this with the manager who gave us assurances people’s information would be stored securely.

People were encouraged to discuss any concerns during meetings and day to day discussions with staff and management and also as part of the annual survey. People told us they had no complaints about the service but felt confident they could raise any concerns with the staff or managers.

People were supported to take part in activities such as dominoes, ball games, reading and discussing the newspaper and current events, church services, pamper sessions, and one to one sessions. People told us they enjoyed the gardens in the warmer weather. People told us about the ducks and alpacas and how they were involved in feeding them. We heard both serious and amusing conversations between staff and people living in the home.

People described the manager as ‘approachable’, ‘supportive’ and ‘willing to listen. The manager worked at Danesmoor Residential Care Home three days each week and at Jalna Residential Home two days. We were concerned this may result in a lack of consistent leadership; however, a senior carer took responsibility for management duties in her absence. People confirmed the owners monitored the day to day management of the home on a regular basis.

There were systems in place to assess and monitor all aspects of the quality of the service and regular checks on systems and practices were completed by the manager and the owners. We found the records did not always clearly identify which records had been checked and how identified shortfalls had been acted on. The manager and owners assured us the auditing records would be reviewed to ensure all details were recorded clearly.

There were systems in place to seek people’s views and opinions about the running of the home. People’s views were taken into consideration and there was evidence changes had been made as a result of this.

29 April 2014

During a routine inspection

We brought forward our inspection in view of some concerns that had been reported to the Care Quality Commission. We looked at these concerns at our inspection and spoke with the manager. We were satisfied with the evidence provided in relation to these concerns.

We considered all the evidence we had gathered under the outcomes 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 a summary of what we found:

Is the service safe?

The manager told us there had been no application for deprivations of liberties safeguards. Staff spoken with were able to discuss appropriate procedures to take if there were concerns about a person's Mental Capacity. (The Mental Capacity Act 2005 provides a legal framework to protect people who need to be deprived of their liberty for their own safety).

There was a copy of the safeguarding policy in place and staff we spoke with demonstrated an understanding of safeguarding issues and actions they would take if they suspected abuse was taking place.

We saw evidence of comprehensive and appropriate care planning in place to ensure people living in the home received safe and effective care. There was up to date risk assessments in place in the care files we looked at for people living in the home

We saw a copy of a recent staff needs analysis in place that the manager had completed recently.

Is the service caring?

We spoke with people living in the home who told us staff were caring and kind. People said, 'I am happy with the care I don't need help but they (Staff) would come if needed', 'I am looked after well' and, 'I am well cared for and feel safe'.

We saw bedrooms for people living in the home had been personalised with mementoes and photographs. We saw positive interactions with people who used the service, staff, the manager and the owners.

The two care files we looked at contained all the relevant information to enable staff to care for people living in the home safely and effectively.

We observed the lunchtime period and saw people living in the home were offered support by staff. Meals were simple but notorious and people told us they had enough to eat and were offered choices of meals in the home.

Is the service responsive?

We saw evidence of completed surveys and questionnaires for people living in the home and family members

We saw the home had resident meetings and we saw evidence of a resident meeting taking place some months ago. People living in the home told us they had attended resident meetings.

We spoke with three people who used the service about the manager. We were told, 'The manager is good she does all she can'.

Is the service effective?

There was evidence in people's care files that their care needs were being met and reviewed regularly. We saw people had been involved in their care planning and had signed them regularly.

We saw a visiting healthcare professional at the home on the day of our inspection and there was evidence in people files to show professionals had visited.

There was an activity book which had entries of activities undertaken by people living in the home. The manager told us people were given the choice of whether they wanted to take part in these activities. We were told the representatives from different faiths attended for people who used the service. People we spoke with confirmed they were able to undertake religious activities if they wished.

We asked about staff training. We saw copies of training taking place in the staff files we looked. Examples seen were, first aid, moving and handling, medications and nationally recognised qualifications.

Is the service well led?

The manager is registered with the Care Quality Commission. We received positive comments about the manager form staff and people living in the home. An examples was, 'The manager is good and she does all she can'.

We saw evidence of completed surveys and questionnaires for people living in the home and family members. We saw positive comments such as, 'very good care, friendly' and, 'happy with treatment'.

We saw there was regular meetings for staff and people living in the home. We saw notes on attendees and topics that had been discussed. People we spoke with confirmed they attended these meetings and had been involved in them.

There were systems in place to regularly assess and monitor how the home was managed and to monitor the quality of the service. We saw evidence of regular and recent audits taking place. Examples seen were; menus, medications, water temperatures and cleaning checks. These were copies of up to date maintenance certificate for example, electric checks, lift and portable appliance testing checks.

21 October 2013

During a routine inspection

The manager is registered with the Care Quality Commission and we saw a copy of their certificate on display in the hall.

The staff we spoke with discussed appropriate procedures to take if a person using the service refused their consent. We were told, 'If a resident (people who used the service) refused I would ask them why I would leave it for maybe half an hour and then if they still refused I wouldn't force them, I would document it'.

We saw positive comments on completed surveys for people who used the service and family members. Examples of these were, 'I am fine, there is nothing here I would like to change', 'I think it is a lovely place and the staff are brill, thank you'.

We looked at two care files, assessments were seen for nutrition and regular weight recording with changes were seen for people who used the service.

Our expert by experience spoke with people who use the service who confirmed they felt safe and staff were observed speaking to people in a respectful manner.

We looked around the home and in six bedrooms. We observed people who used the service had personalised their rooms with photos and mementoes.

We asked staff if there were enough staff on duty to enable safe effective care for people who used the service. We were told, 'It sometimes can be busy, but mostly it is fine, I am able to carry out activities'.

There was a copy of the in house complaints policy in place for staff to follow.

26 November 2012

During an inspection looking at part of the service

Three people we spoke to told us they were happy with the care the home gave them. One person told us, 'They look after me ok and I am happy with the care they give me'. Another person told us 'They look after me well, staff love their work here and they arrange all my appointments at the hospital'.

We found that care plans had been produced and most had been signed by the individuals. The care plans were not always person centred and they had not always involved family members. This meant that for the people who were unable to agree to the care plan their wishes may not be taken into account.

We found that during the inspection there were sufficient staff members to safeguard the health, safety and welfare of people that lived at the home.

The premises provided a safe and suitable environment, however, the provider may find it useful to note that some of the bedrooms required new floor coverings.

21 June 2012

During a routine inspection

Three people were spoken to during this inspection and told us, "The food is moderate. There are two choices but you can have something else", "The food is very good. There is a good choice and plenty of it" and "The food is all right. Like home cooking. They would make me something else if I did not like the food". People were satisfied with food served at the home.

People told us, "They treat people privately. I have never seen them treat people otherwise. They ask me what I want. They give me the option to choose what I do.", "They treat us privately and keep the doors closed when they help us. I mainly look after myself which is my choice" and "They are careful to keep any care private. They ask me what I want to wear or when I want to go to bed". People were treated privately and given choices to help maintain their dignity.

People told us, "I have a nice room. I have some of my things in it. All my photographs and some of my own furniture", "I have a lovely room. I have my own television and brought my own chair in. I have lots of my own things" and "My room is all right and I can go there for privacy. I have a lot of my own things in it". People were able to personalise their rooms to help them feel more at home.

Three people said, "My wife visits me regularly. There are no problems with visiting", "I get a lot of visitors and staff are always nice to them" and "I get visitors. My friend came this morning. They are friendly with visiting. Overall they are pretty good". Staff made visitors welcome to allow people who used the service to socialise with their family and friends.

Two staff members questioned said, "I think there is a good staff team and we cover for each other when staff are off sick. The managers are approachable and supportive" and "I think we get supported and the managers are great. Any problems and we can talk to them. They are all brilliant". Staff felt supported and part of a team to enable them perform their roles effectively.