7 December 2015
During a routine inspection
Our inspection took place on 7 December 2015 and was unannounced. At our last inspection in October 2013 we found the provider was complying with all the regulations we looked at.
Siegen Manor Resource Centre is a purpose built home providing personal care for up to 30 older people. It is located near the centre of Morley. Leeds Local Authority manages and operates the home which provides accommodation in single rooms. At the time of our inspection there were 22 permanent residents.
There was a registered manager in post at the time of our inspection. 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.
People told us they felt safe and well looked-after in the home. We saw people were protected from potential harm and abuse from staff who had been trained in the safeguarding of vulnerable people and knew when and how to raise any concerns.
We saw the provider undertook robust background checks when recruiting staff and ensured that staff were deployed in sufficient numbers at all times to provide safe care and support. Staff understood how to diffuse any incidents between people and we saw evidence of this in action during the inspection. We observed people were relaxed around each other and in the presence of staff.
Individual risks were understood and well assessed and we saw that care plans were regularly updated to ensure guidance to staff reflected people’s current needs.
Systems were in place to ensure the safe management of medicines and we saw that these were adhered to.
We looked at records which showed equipment was kept serviced and well-maintained. We saw the home was kept clean, although we asked the registered manager to take action to repair damage in the sluice room which may have impacted on the effectiveness of cleaning in this area.
People told us care and support was provided to a high standard and we saw evidence in training plans and records that the provider ensured that staff were supported to do this with a good programme training. In addition staff were also supported through regular supervision and appraisal.
The provider and staff understood the requirements of the Mental Capacity Act (2005) and the implications of this for the ways in which care and support were provided. People’s choices were sought and requested and independent advocates were appropriately used when needed. Deprivation of Liberty Safeguards were being appropriately managed and the need for these was identified in a timely way. We asked the registered manager to submit some applications after our inspection and received confirmation that this had been done.
There was a good provision of food and drink which people told us they enjoyed. People told us they had enough to do and we saw pre-planned events and activities which reflected what people wanted to do each day.
People told us the service was caring and that staff were kind and compassionate. We observed a good standard of care being provided on the day of our inspection. People told us they and their families were involved in decisions about their care and support needs. Care plans were kept up to date through regular review and staff could tell us in detail about people’s care needs, preferences and wider lives.
We received feedback which told us there was a positive culture in the home and that staff and people who used the service found the registered manager approachable, supportive and responsive.
The registered manager monitored the quality of service delivery through a number of means including a programme of audits and checks, feedback forums and questionnaires.