10 August 2017
During a routine inspection
There was a registered manager in post. 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 were protected from the risk of potential abuse and told us they felt safe in the company of staff because of the way staff supported and cared for them. Plans to manage people's individual risks were assessed, and identified in a way which promoted people's safety. There were enough staff employed to care for people and chat to them so they did not become isolated. Staff supported some people to take their medicines. Some people had requested staff just reminded them to take their medicines and this had been done.
Staff had the skills and knowledge to care for people effectively. Staff received regular training based on the needs of people using the service. Staff knew the histories and preferences of the people they were supporting and provided care in a way that meet individual people's needs. People had been involved in making decisions about how their care was delivered on a daily basis, and through their assessments, care planning and care plan reviews.
People were encouraged to make choices about the food they ate and staff knew if they had any dietary requirements. People were supported by staff to maintain their health and well-being.
People's consent was appropriately obtained by staff when caring for them. If people's ability to make decisions changed, the registered and deputy manager had involved people's relatives and other professionals, so that care would continue to be delivered in the best way for people.
People received care from staff who took time to get to know them. People had developed good relationships with staff that were caring. Staff supported people to maintain their dignity and people had confidence staff respected their right to confidentiality.
The registered manager, general manager and staff met regularly with people to check they were receiving care in the way they wanted. People and their family members were encouraged to give verbal and written feedback on the quality of the service. The registered and general manager made sure regular checks were completed to monitor the quality of the care. Staff members were aware of and implemented the values demonstrated by the registered and general manager.