This was an unannounced inspection which took place on 1 and 2 December 2014. We last inspected this service on 25 September 2013, there were no breaches of the regulations we looked at.
Robert Harvey House is a purpose built residential care and nursing home for up to 52 people. At the time of our inspection 46 people were living at the home.
There was 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 and associated Regulations about how the service is run.
Everyone who lived at the home told us they felt safe. We saw people with different ways of expressing their feelings communicate through their body gestures and smiling showing they were relaxed. Relatives and staff all said they felt people were kept safe and cared for. We saw that the provider had processes and systems in place to keep people safe and protected them from the risk of harm.
People that required support with their medicine received it safely because procedures were in place to make sure this was done without harm. People received their medicine as prescribed by their doctor. People’s needs were individually assessed and written in care records that minimised any identified risks so reducing the risk of harm.
We found there were enough staff to meet people’s identified needs because the provider ensured staff were recruited and trained to meet the care needs of people.
The provider acted in accordance with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The provisions of the MCA are used to protect people who might not be able to make informed decisions on their care or treatment they receive. The provider had made the appropriate applications in line with the DoLS legislation.
We saw that people were supported to have choices and received food and drink at regular times throughout the day. People spoke positively about the choice and quality of the food available. Staff supported people to eat their meals when needed. People, who could not communicate verbally, were supported by staff with their choice of meal, through the use of pictures.
People were supported to access other health care professionals to ensure that their health care needs were met.
People and relatives told us that staff was kind, caring and friendly and treated people with dignity and respect. We saw that staff supported people who could not communicate verbally, in a dignified way, ensuring staff remained respectful.
We found that people’s health care needs were assessed and regularly reviewed. People and their relatives told us they were confident that if they had any concerns or complaints they would be listened to and addressed quickly.
We saw that the management of the service was stable and that the manager carried out regular audits. The provider had well established management systems to assess and monitor the quality of the service provided. This included gathering feedback from people who used the service and their relatives.