Archived: Burcot Grange

' Is the service safe?

' Is the service caring?

' Is the service responsive?

' Is the service effective?

' Is the service well led?

This is a summary of what we found-

Is the service safe?

People told us that they felt safe with the staff who cared for them. Staff were able to describe to us how they kept people safe.

Systems were in place to make sure that managers and staff learnt from accidents and incidents. We saw that suitable action had been taken to reduce accidents and the risks to people. Systems were also in place to ensure that equipment was clean and safe to be used by staff.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberties Safeguards which applies to care homes. The provider had policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards. Although no applications were in place at the time of our inspection. This meant that people would be safeguarded as required.

We brought to the attention of the registered manager and provider some concerns we had regarding to the administration of medicines. We were assured that improvements would take place to ensure that the management of medicines was safe.

Is the service effective?

People's needs were assessed and care and treatment was planned and delivered in line with their individual needs. People told us that they felt the service met their needs.

We found from our observations and from speaking with staff that they had a good understanding of people's care and support needs.

Is the service caring?

People we spoke with told us that staff treated them kindly and that their needs were met. We saw that on the majority of occasions that staff interactions were supportive and respectful and that staff assisted people sensitively, whilst at the same time promoting their independence as much as possible.

Staff demonstrated a good understanding of people's needs and preferences. We brought to the attention of the registered manager some example when people were not fully consulted about the care they received.

Is the service responsive?

People told us they felt able to raise concerns. We saw that people's views had been sought through satisfaction surveys.

The registered manager and provider were in day to day contact with people so that any issues were able to be discussed. We found that people who used the service and their relatives were confident that any issues they had would be responded to in a timely way.

Contact with health professional ensured that people received the medical support they required.

Is the service well led?

The provider had quality assurance systems in place. These systems had included obtaining the views of people who used the service and their relatives.

We saw that records identified any shortfalls and the actions taken to address these and make improvements.

Staff told us that they felt well supported by the registered manager and the provider.

People were very complimentary about the care that was provided. They told us they were involved in planning their care. People said: 'I think the standards of care are very high'. 'It's wonderful here'. 'We don't have a moment's worry now X is here'.

People were involved in planning their care and their choices had been respected. People's dignity had been respected. Care was planned and accurate records had been maintained. Reviews of care had been conducted regularly and changes made when necessary.

People were safeguarded from the risk of harm because staff had a clear understanding of their roles and responsibilities in this area. People had access to medical professionals.

There were sufficient numbers of staff on duty and skills and experience amongst them was balanced throughout the day. Staff received regular training that enabled them to deliver care to an appropriate standard.

There were systems of audits in place to monitor the quality of the service provided. People were asked for their views about the home and these were listened to.

People who used the service were highly complimentary of the service and told us that they were cared for well. We saw that people who used the service had good relationships with staff and that staff appeared to know them well.

We found that people who used the service were supported and encouraged to express their views and make decisions about their care and how they wanted to spend their time.

The individual needs of people were assessed and supporting plans had been developed. This ensured people's needs would be met by staff.

People who used the service were supported by staff who had received appropriate training to enable them to meet their needs.

People told us that they felt safe. We saw that staff received training on safeguarding people from abuse.

We saw that there were arrangements for monitoring the quality of the service. People who visited the service and the staff we spoke with told us that the registered manager was approachable. They said they had no difficulties raising issues of concern with them if necessary and knew that they would be listened to.