18, 24 May 2012
During a routine inspection
We spoke with two people who lived at the home, one relative, four staff and the manager. We looked at five people's care records, three staff files and other records associated with the operation of the home. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk to us.
People who used the service were consulted about the care and support they were provided with and supported to have involvement in decisions. We saw that staff consistently offered people choices when talking with them. We saw records that demonstrated people's involvement.
People's needs were assessed with care and treatment planned but not always delivered in line with their individual care needs. We saw people's care plans were developed from assessments and that their plans set out what staff needed to do to support people. We only saw one omission in respect of a person's health needs although staff understood what they needed to do to ensure this person's well being.
Observation of staff showed they provided appropriate care and support to people. Staff carried out care in a way that recognised people's individuality and needs. We saw staff to be respectful and understanding with people when supporting them. This meant that they considered people's privacy and dignity, although one person told us this was not always consistent. People we spoke with told us that support they received was as agreed and wanted. One person told us that staff 'Look after well' and that the staff 'do their best for you'. They said that they are not kept waiting for assistance although were able to retain their independence and that staff ensured health care needs were met. One relative said that 'Staff are kind'.
People were supported by suitably qualified and experienced and well trained staff. A relative told us that there was not enough staff available during the evening period to always allow a prompt response to more dependent people's needs. Staff confirmed that response to people's needs could be delayed in the evening due to staff numbers.
We saw two people assisted with transfers that were not in accordance with the risk assessments we saw. This meant there was some potential risk to people.
The provider had taken steps to provide care in an environment that is suitably designed and reasonably maintained, providing a 'homely' environment for people living there. Some areas of the home and the furnishings were looking worn and tired though, this recognised by the provider who was looking at a decorative programme to tie in with an planned extension to the home.
We saw that the manager had listened to, and begun responding to matters raised during our inspection. People told us that 'Feel like home to home here, don't feel like in a strange place, make welcome'. We saw surveys of relatives carried out by the home these carrying the following comments 'My dad has been comfortable since he arrived here, our family are more than happy with the care he receives' and 'I don't think your service could improve and I am more than happy with the way things are.'