We carried out this inspection on 23 and 24 August 2017. The inspection was unannounced on the first day but the provider knew we would be attending on the second day.We last inspected this home on 14 and 15 August 2015 when we rated the service as providing a good service. At this inspection we found that the service continued to provide a good service but there were some improvements to be made in the auditing and monitoring of the quality of the service.
Acorn Care Home is registered to provide accommodation and nursing care for 22 people who have
nursing or dementia care needs. There were 17 people living at the home when we visited.
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.
There were some quality monitoring systems in place but they were not always effective in identifying shortfalls in the service.
People received a safe service, because the provider had procedures in place to reduce the risks of harm to people. Staff were trained to help keep people safe and knew the procedures for ensuring people did not suffer abuse or harm.
People received their medicines as prescribed and were cared for in an environment that was maintained to ensure they were safe.
People were supported by sufficient numbers of staff that were suitably recruited, trained, supervised, supported and monitored to ensure they cared for people effectively.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible.
People had a choice of meals and were supported to eat and drink enough to maintain their health and well-being. Staff knew how to support people that may be at risk of not eating or drinking sufficient amounts to maintain their health. People had access to health care professionals when they were unwell so their health care needs were met.
People and their relatives were happy with the care they received and felt that staff were caring and compassionate towards them. People’s privacy and dignity was maintained and staff encouraged people to be as independent as possible.
People and their relatives were involved in planning and agreeing their care needs, so they knew what care was being provided. Where people had concerns about their care, there were effective procedures in place to handle these concerns. People were confident that any concerns they raised would be acted on.
Social activities were provided for people who wished to take part.
People received a service that was well managed, by a stable management team. People had the opportunity to comment on the quality of the service they received.