An adult social care inspector carried out this this inspection. The focus of the inspection was to answer five key questions; is the service safe, effective, caring, responsive and well-led?As part of this inspection we observed activities taking place, looked around the premises, spoke with two relatives, the registered manager and three members of care staff. We also reviewed records relating to the management of the service which included two care plans, daily records, staff records and quality assurance monitoring records. People who we spoke with had complex communication needs and were unable to verbally tell us their views.
Below is a summary of what we found. The summary describes what people using the service and the staff told us, what we observed and the records we looked at.
If you wish to see the evidence supporting our summary, please read the full report.
Is the service safe?
People's social and health care needs were met in a safe and appropriate way and indicated that they felt safe, because they showed signs of being active and not withdrawn.
Health and safety risk assessments had been carried out and measures were in place to minimise these, to keep people safe.
The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards which applies to care services. Applications have needed to be submitted and proper policies and procedures were in place. Relevant staff have been trained to understand when an application should be made, and how to submit one.
The care home was visibly clean and there were procedures in place to protect people from becoming unwell from (preventable) infections.
There were enough members of staff to safely meet people's needs. This included providing one-to-one ratio of care staff.
Is the service effective?
People's ability to give their informed consent about how they were to be looked after and treated, was formally assessed. Where people were assessed not have this mental capacity, there were clear, 'best interest' reasons made as to why they needed to be kept safe and well.
People's health and wellbeing needs were effectively met. This included supporting people to take part in social and work-related activities. In addition, people were supported to maintain contact with their relatives.
Is the service caring?
People were treated in a respectful and dignified way by attentive, patient and caring staff members. People indicated that they liked members of staff because they were kind and showed an interest in the individual person.
Relatives had positive comments about how well their family members were looked after. This was described as being, 'Absolutely wonderful.'
Is the service responsive?
People's individual social and health care needs were responded to. People were supported to maintain contact with their family members. They were also supported to access a range of social and work-related activities.
Is the service well-led?
People who used the service, their relatives and members of staff had opportunities to make suggestions and comments. We found evidence that these were considered and acted on, where this was possible.
There was a system in place to analyse information in relation to incidents.