16, 17 October 2013
During a routine inspection
We found where people were able to they gave consent to their care and support. A person told us' 'The staff are very, very good, they do the care I want how I like it.'
We found people did not receive care and support that met their needs. Food and fluid intake charts were not fully completed, and they were not used to establish the food and fluid intake a person had during the day. A staff member told us, 'The charts don't benefit the residents, they are not accurate. It is not good.' We also found care plans were not kept up to date, so they did not show how staff should respond when people's needs had changed.
We found that suitable arrangements were in place to manage people's medication and ensure they received any medication they needed. A person who used the service told us, 'I have my tablets when I am meant to. If I need a painkiller they give me one or two whichever I ask for.'
The staffing levels were increased during the inspection to ensure there were sufficient and suitable staff employed. A relative said, 'Two staff is not enough. He (their relation) needs two staff which means there is no one to look after the others.'
We found the provider assessed and monitored the quality of the service and responded to any complaints that were made. A relative told us the manager was very approachable and said, 'The office door is always open, I feel I can raise anything I want to.'