On the day of the inspection 18 people were receiving care and support at the home. During the inspection we read three people's care records and spoke to several people who used the service. We spoke with a visiting relative and staff. We observed people's care throughout the day. This is a summary of what we found-
Is the service safe?
People were treated with respect and dignity by the staff. People told us they felt safe. Systems were in place to make sure that managers and staff learned from events such as accidents and incidents, complaints and concerns. This reduced the risks to people and helped the service to continually improve.
The home had policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards although no applications had needed to be submitted. Relevant staff had been trained to understand when an application should be made, and in how to submit one. This meant that people were be safeguarded as required.
The service was safe, clean and hygienic. Systems were in place for the segregation of waste. People we spoke with confirmed they felt safe living at the home. One person said 'They [staff] clean my room every day'.
Staff received appropriate professional development and were able to obtain further relevant qualifications. This helped to ensure that people were kept safe and their needs met.
Safeguarding procedures were in place and staff had received safeguarding training. Procedures were in place for the recording of finances. However, records of third parties legal authority to manage a person's finances were not always maintained.
Is the service effective?
People's health and care needs were assessed. Specialist dietary, mobility and equipment needs had been identified in care plans where required. Some people did not always understand what a care plan was but expressed that staff helped them in the way they wanted.
People's needs were taken into account with signage and the layout of the service enabling people to move around freely and safely. People who were assessed as being at risk and alone in the community had access to a secure garden area. A call system was available throughout the home to enable people to request help or to request drinks.
Is the service caring?
People were supported by kind and attentive staff. We saw that care workers showed patience and gave encouragement when supporting people. People commented, 'Staff will always help', 'They [staff] are brilliant' and 'I am very happy here, I have no complaints'.
People using the service, their relatives and friends completed an annual satisfaction survey. This information had been analysed to identify areas for improvement. A relative commented that they were happy with the service provided.
People's preferences, likes, dislikes and diverse needs had been recorded and care and support had been provided in accordance with people's wishes.
Is the service responsive?
We saw staff that responded quickly to meet people's needs and ensured people's safety was maintained. This was also confirmed by people we spoke with. People were able to express their views and these were acted on. People had the opportunity to engage in a range of activities both in the home and within the community.
People we spoke with knew how to raise a concern or make a complaint if they were unhappy. Staff told us that they would support people to make a complaint if the person was not able to do this for themselves. People told us that they had no complaints and were happy with the care they received.
Is the service well-led?
The service worked well with other agencies and services to make sure people received their care in a joined up way. We saw that people were supported to attend activities with the Alzheimer's society. Staff felt supported in their roles and felt their views were listened too.
The service had a quality assurance system. Records seen by us showed that identified shortfalls were addressed promptly. As a result the quality of the service was continually improving.
Staff told us they were clear about their roles and responsibilities. Staff had a good understanding of the ethos of the home and quality assurance processes in place. This helped to ensure that people received a good quality service at all times.