8 and 13 January 2015
During a routine inspection
We carried out this inspection on 8 and 13 January 2015, and it was unannounced.
The service provides accommodation, care and treatment for up 80 people who have a range of care needs including living with dementia, chronic conditions and physical disabilities. The home is spread over three floors, with people living with chronic conditions being cared for on the ground floor, a rehabilitation service on the first floor and a service for people living with dementia on the second floor. There were 51 people living at the home at the time of the inspection.
The service has a registered manager. 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.
There were risk assessments in place that gave guidance to the staff on how risks could be minimised. There were systems in place to safeguard people from the risk of harm.
People’s medicines were not always administered in a timely manner.
The provider had effective recruitment processes in place and there were sufficient staff to support people safely. Staff understood their roles and responsibilities in relation to the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).
The staff had supervision and support, but the training provided was not always effective to enable them to support people well.
People were supported to have sufficient food and drinks in a caring and respectful manner. They were also supported to access other health and social care services when required.
People’s needs had been assessed, and care plans took account of people’s individual needs, preferences, and choices.
The provider had a formal process for handling complaints and concerns. They encouraged feedback from people and acted on the comments received to improve the quality of the service.
The registered manager provided stable leadership and managerial oversight. The provider’s quality monitoring processes had not always been used effectively to drive improvements.