14 February 2018
During a routine inspection
At our last inspection of this service on 29 December 2015 the service was rated Good. At this inspection we found the service remained Good. The home demonstrated they continued to meet the regulations and fundamental standards.
The service had 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.
Staff knew how to keep people safe. The service had clear procedures to support staff to recognise and respond to abuse. The registered manager and staff completed safeguarding training. Staff completed risk assessments for every person who used the service and they were up to date with detailed guidance for staff to reduce risks.
The service had an effective system to manage accidents and incidents, and to prevent them happening again. The provider carried out comprehensive background checks of staff before they started working and there were enough staff to support to people.
Medicines were managed appropriately and people were receiving their medicines as prescribed. Staff received medicines management training and their competency was checked. All medicines were stored safely. The service had arrangements to deal with emergencies and staff were aware of the provider’s infection control procedures and they maintained the premises safely.
The provider trained staff to support people and meet their needs. The provider supported staff through regular supervision and appraisal.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible and the policies and systems in the service support this practice.
Staff assessed people’s nutritional needs and supported them to maintain a balanced diet. Staff supported people to access the healthcare services they required, and monitored their healthcare appointments. The registered manager and staff liaised with external health and social care professionals to meet people’s needs.
People, and where appropriate their relatives were involved in the assessment, planning and review of their care. Staff considered people’s choices, health and social care needs, and their general wellbeing.
Staff supported people in a way which was kind, caring, and respectful. Staff protected people’s privacy and dignity.
The provider recognised people’s need for stimulation and social interaction. People were supported to maintain relationships with people that mattered to them. People's needs were reviewed and monitored on a regular basis. The service had a clear policy and procedure about managing complaints. People knew how to complain and told us they would do so if necessary.
There were systems in place to monitor the quality of the service provided. People's views about the service were sought and considered through meetings and satisfaction surveys. Staff felt supported by the registered manager. The service worked effectively with health and social care professionals, and commissioners.