18 January 2016
During a routine inspection
The home is registered to provide accommodation and nursing care to a maximum of 142 people. On the last inspection day 142 people lived at the home. Some people lived with conditions that related to old age whilst other people had dementia or a physical disability. Care provided was within five different units. On Bloomfield and Heronville units care was provided to people who lived with dementia. On Palethorpe unit care was provided to younger adults who lived with a physical disability and on Haines unit care was provided to people who lived with elderly frail conditions. On the fifth unit Mamby the care provided was intermediate and step down support which was for a short duration of time only. Some people on this unit had been discharged from hospital but for various reasons were not yet ready to return to their own homes. Other people required short term support to regain their health and/or mobility.
At our last inspection of August 2014 the provider was not meeting one regulation that we assessed relating to medicine management and safety and improvements were required regarding the quality monitoring of the service. Following our inspection the provider sent us an action plan which highlighted the action they would take to improve. Our inspection findings confirmed that the improvements had been made.
The manager was registered with us. 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.
Staff knew the procedures that they should follow to ensure the risk of harm and/or abuse was reduced.
Kind and caring staff in sufficient numbers were available to meet people’s individual needs.
Medicine systems were well managed and safe and ensured that people were given their medicines as they had been prescribed.
Staff received induction training and the day to day support they needed to ensure they met people’s needs and kept them safe.
Staff felt that they were trained and supported to enable them to care for people in the way that they preferred.
Staff understood the requirements of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). This ensured that people received care in line with their best interests and would not be unlawfully restricted.
People were enabled and encouraged to make decisions about their care. If they were unable to their relatives were involved in how their care was planned and delivered.
Staff supported people with their nutrition and dietary needs to promote their good health.
People received assessments and/or treatment when it was needed from a range of health care professionals which helped to promote their health and well-being.
Systems were in place for people and their relatives to raise their concerns or complaints.
People and their relatives felt that the quality of service was good. The registered manager and provider undertook regular audits and took action where changes or improvements were needed.