Llysfield is a care home which provides residential and nursing care for up to 30 people. People living in the home have a mixture of needs, from requiring support with personal care to requiring nursing intervention for a particular medical condition. At the time of the inspection there were 24 people living at the home.This was an unannounced inspection that took place on 8 November 2016. The home has a registered manager. 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 and associated Regulations about how the service is run. The registered manager was not on duty at this inspection.
We last inspected this home on 30 September 2015 where we identified one breach of Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This related to people who had not been able to make a decision about their own care. The provider had not recorded why a certain decision had been made for them by staff. We asked the provider to submit to us an action plan outlining how they planned to meet this regulation. We reviewed the action plan during this inspection to see whether or not the provider had taken appropriate action. We found the provider had taken sufficient action to show they were now meeting the regulations.
Staff understood their role in keeping people safe. Staff carried out risk assessments and created plans to minimise known hazards whilst encouraging people's independence. There were sufficient staff in the home to help ensure people received the care and support they required.
Recruitment processes were in place to ensure that those staff who were providing care were suitable to be working at the home.
Staff followed the provider’s procedures in administering medicines and medicines were stored safely.
Care was provided by staff who were trained and received relevant support from their line manager. Staff told us they felt supported by the registered manager and enjoyed working in the home.
Staff provided care in line with the Mental Capacity Act 2005 (MCA). Records demonstrated that people's rights were protected as staff acted in accordance with the MCA when being supported to make specific decisions. The staff were aware of when people may be restricted and the need to submit applications to the supervisory body in relation to this.
People were provided with a choice of meals each day and those who had dietary requirements received appropriate foods. Staff followed the guidance of healthcare professionals where appropriate.
There was a caring and calm atmosphere in the home where people and staff interacted together well. People and relatives were very happy with the care provided and relatives were made to feel welcome when they visited.
Staff supported people to take part in various activities. Staff were attentive to people and knew them well.
People knew how to make a complaint if they felt the need to. Suggestions raised by people were responded to by management.
Care plans contained information to guide staff on how someone wished to be cared for. Staff had a good understanding of people's needs and backgrounds as detailed in their care plans.
Quality assurance checks were carried out to help ensure the environment was a safe place for people to live and they received a good quality of care. People and relatives were given the opportunity to provide feedback on the care they received.