10 February 2014
During an inspection looking at part of the service
The provider sent us an action plan after both inspections to show how they would become compliant with the regulations. We carried out this inspection to check that the action plan had been completed. We also looked at two other standards as we had received information of concern since the last inspection.
On the day of the inspection there were only six people using the service. People told us that they were happy with the care provided. They thought that there had been improvements to the home although the work currently being carried out could be noisy. One person said 'The place is a lot cleaner but the noise of scraping is a bit annoying at times.' Another said 'You can really notice the change but it's not always as peaceful as I would like. Still I am looking forward to being able to get in the garden in the warmer weather.' We observed interactions with staff and the care provided. Staff we spoke with knew people's needs well. We saw people were treated with respect and that staff were responsive to people's needs although we noticed on the day of the inspection that there was less staff interaction with people who used the service in the morning than there was in the afternoon.
At this inspection we found that the provider had invited in some interim managers and had taken advice from consultants on how to improve the service. They had also had support and training from the local authority Care Support Team. People were involved in decisions about their care and their needs were reviewed regularly. There were systems to protect people from the risk of infection and the standard of cleanliness had improved. There were appropriate systems in place to manage and administer medication. Improvements were being made to the safety and decor of the premises and suitable equipment had been purchased and was regularly maintained.
There were sufficient staff to meet people's needs and a programme of refresher training for staff was under way. Further training sessions had been identified and booked. Quality assurance systems had improved and an action plan was being drawn up to target areas for improvement. Records had been updated and were securely kept, but they were not always well organised and dates and signatures were sometimes not available where this was appropriate.