9 June 2023
During an inspection looking at part of the service
People’s experience of using this service and what we found
At the last inspection improvements were required to ensure that the principles of the Mental Capacity Act were followed. At this inspection we found that all required improvements had been made.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People received person-centred care delivered by passionate and caring staff. People were supported to participate in the planning of their care according to their needs. People’s wishes were sought and respected, and people were supported to make decisions according to their ability.
People were supported to live full and active lives and participate in activities of their choosing.
The service was well-led, and this was evident at all levels. There was a comprehensive quality assurance system in place which was capable of identifying areas for improvement. We saw that areas for improvement identified by the system had been acted upon.
Medicines were stored safely within the home and administered in line with the instructions of the prescriber.
There were sufficient numbers of staff to meet people’s needs in a timely manner. Staff were recruited safely.
The service was clean and there were appropriate procedures in place to minimise the risk of the transmission of infection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 15 July 2019). At that inspection improvements were required to ensure that the principles of the Mental Capacity Act were consistently followed. At this inspection these improvements had been made.
Why we inspected
This inspection was planned to assess progress with shortfalls identified at our previous inspection on 15 July 2019.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.