On the site visit we conducted 28 July 2011 we found most people living at the home had complex needs and were not able to verbally communicate their views and experiences to us. Due to this we used a formal way to observe people in this review to help us understand how their needs were supported. We call this the 'Short Observational Framework for Inspection (SOFI). Overall, throughout our SOFI observation, we saw resident's needs were being met; staff did not seem unkind and talked to people who use the service. However on some occasions we observed interaction that showed some staff did not always have the necessary skills to communicate with residents in an appropriate way.During our visit we were able to talk to some relatives. They told us:
'Care is very good. Excellent.'
'Nothing too much trouble'.
'New manager is good and efficient'
'happy with [X] being here';
'Friendly atmosphere';
'Happy with care [X] receives';
The relative explained that they appear 'short staffed' and sometimes 'can't 'change' [X] until somebody spare'.
'some really good carers' but 'sometimes not enough of them';
'Happy with care'.
'Food's good'. The relative explained how her husband's choice of breakfast had been facilitated and how the staff had ensured he got his favourite fruit.