18 April 2018
During a routine inspection
The home was a single floor building with the bedroom accommodation located around the main living areas. There was one main bathroom available to people. There were two communal areas in the home, which were a kitchen/dining room and a lounge.
The home had 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.
At our last inspection, we rated the service good. At inspection, we continued to rate the service as good
The principles of the Mental Capacity Act 2005 were not being followed as required; best interest decisions were not in place for all people that required them. However, the provider was in the process of implementing such a process.
There were sufficient staff to meet the needs of people and to support them to access the community.
Families told us they felt their relatives were safe at the home. Staff understood their roles and responsibilities to safeguard people from the risk of harm. Staff knew how to identify, prevent and report abuse.
There were robust arrangements in place for the safe recording, storage and administration of medications, as well as risk assessments and practices to safeguard people’s health and wellbeing.
Risks to people and the environment were assessed and reviewed regularly.
The registered manager understood their responsibilities for end of life care and knew how to access relevant support if needed.
The provider had an effective recruitment process in place. Staff had undertaken all other appropriate training to be able to support people according to their needs, choices and preferences. Care plans and risk assessments were regularly updated and contained personalised information to support people's needs.
Staff had developed respectful, caring relationships with the people they supported. People received care and support which reflected their preferences, capabilities and needs. People were involved in making decisions about their care and had care plans that were compiled using pictures and photographs so that they were accessible to them.
Staff worked in partnership with health and social care professionals to promote people's health and wellbeing.
The registered manager promoted a person centred, caring philosophy, which was shared by all staff.
The home had a warm and friendly feel and people appeared happy and relaxed with staff.