23 April 2018
During a routine inspection
There were 60 people living in the service when we inspected on 23 and 25 April 2018. This was an unannounced comprehensive inspection.
This service had previously been owned by another provider, it was registered under the current provider in January 2017. This was the service’s first inspection under the new provider.
There was a registered manager in place. 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 systems in place to provide people with a safe service. Staff were trained and understood how to safeguard people from the risk of abuse. Risks to people were assessed and staff were provided with guidance about how to minimise risks. The numbers of staff required to meet people’s needs were calculated and staff recruitment processes were robust. Medicines were managed safely. There were infection control systems in place to reduce the risk of cross contamination. Where incidents had occurred the service learned from them and used them to drive improvement.
Staff were trained and supported to meet people’s needs effectively. People had access to health professionals when needed. People’s nutritional needs were assessed and met. Staff worked with other professionals involved in people’s care to provide people with an effective and consistent service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The environment was appropriate for people using the service.
People were treated with care and compassion by the staff. People’s privacy and independence was promoted and respected. People were listened to and their views about how they wished to be cared for were respected.
People’s care was assessed, planned for and met. Care records guided staff in how people’s preferences and needs were met. People had access to social activities to reduce the risks of isolation and boredom. People’s choices were documented about how they wanted to be cared for at the end of their life. There was a complaints procedure in place and people’s complaints were addressed and used to improve the service.
The quality assurance systems helped the provider and the registered manager to independently identify and address shortfalls in the service. As a result the service continued to improve.
The service had systems in place to monitor and improve the service provided to people.