19 July 2016
During a routine inspection
Accommodation for up to 49 people is provided in the service over two floors. The service is designed to meet the needs of older people. There were 38 people using the service at the time of our inspection.
A registered manager was in post but she was not available during the inspection. 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.
Systems were in place for staff to identify and manage risks and respond to accidents and incidents. However, risks to people were not always safely managed.
Sufficient staff were on duty to meet people’s needs during our inspection but identified staffing levels had not been met a number of times in the previous month.
People felt safe in the home and staff knew how to identify and respond to potential signs of abuse. Staff were recruited through safe recruitment practices. Medicines were safely managed.
Staff received appropriate induction, training, supervision and appraisal. People’s rights were protected under the Mental Capacity Act 2005. People received sufficient to eat and drink. External professionals were involved in people’s care as appropriate. However, the adaptation, design and decoration of the service could be improved to support people living with dementia.
Staff were kind and knew people well. People and their relatives were involved in decisions about their care. Advocacy information was made available to people.
People generally received care that respected their privacy and dignity and promoted their independence.
People received personalised care that was responsive to their needs. Care records contained information to support staff to meet people’s individual needs.
A complaints process was in place and staff knew how to respond to complaints.
People and their relatives were involved or had opportunities to be involved in the development of the service. Staff told us they would be confident in raising any concerns with the registered manager and that appropriate action would be taken.
The provider and registered manager were meeting their regulatory responsibilities. There were effective systems in place to monitor and improve the quality of the service provided.