Shangri-La provides accommodation and personal care for up to 26 older people, some of whom live with dementia. Accommodation is arranged over two floors with stair and lift access. At the time of our inspection 20 people lived at the home. We rated the home ‘Requires Improvement’ at its last inspection in December 2016. At that inspection we identified four breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014. These included breaches of Regulation 9, person centred care; Regulation 11, need for consent; Regulation 12, safe care and treatment and regulation 17, good governance.
At this inspection we found the provider had rectified the breaches found at the last inspection; the home is now rated ‘Good’.
There was a registered manager at the home. 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.
People and their families told us they felt the home was safe. Staff and the registered manager had received safeguarding training and were able to demonstrate an understanding of the provider’s safeguarding policy and explain the action they would take if they identified any concerns.
There were suitable systems in place to ensure the safe storage and administration of all oral medicines. However, the system in place to ensure that topical creams were not used beyond there ‘safe to used by date’ was not robust. This was discussed with the registered manager who told us that they would review the current system and take immediate action to ensure that creams were labelled clearly. Medicines were administered by staff who had received appropriate training and assessments. Healthcare professionals, such as chiropodists, opticians, GPs and dentists were involved in people’s care when necessary.
Risks to people had been assessed and completed risk assessments contained detailed personalised information about the person and their circumstances. Risks assessments identified the risks along with the actions taken to reduce these risks. Staff were able to explain the risks relating to people and the action they would take to help reduce the risks from occurring.
There was enough staff to meet people’s needs and staff had the time to engage with people in a relaxed and unhurried manner. People received person centred care from staff who knew each person well and understood there needs and personal preferences.
Staff had received an induction into the home and appropriate training, professional development and supervision to enable them to meet people’s individual needs. Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.
People were supported to have enough to eat and drink. Mealtimes were a social event and staff supported people, when necessary in a patient and friendly manner.
Staff developed caring and positive relationships with people and were sensitive to their individual choices, treated them with dignity and respect. People were encouraged to maintain relationships that were important to them.
People were provided with appropriate mental and physical stimulation through a range of varied activities.
People and when appropriate their families were involved in discussions about their care planning, which reflected their assessed needs. People and their families were encouraged to provide feedback on the service provided both informally and through quality assurance questionnaires.
People and relatives were able to complain or raise issues on a formal and informal basis with the registered manager and were confident these would be resolved. This contributed to an open culture within the home.
There were systems in place to monitor the quality and safety of the service provided and manage the maintenance of the buildings and equipment.
People and their families told us they felt the home was well-led and were positive about the registered manager who understood the responsibilities of their role.