Star Residential Home is registered to provide accommodation, nursing, treatment, disease, disorder and injury and personal care, for up to 30 people. At the time of our inspection there were 24 older adults and adults living with dementia at the service. There were a number of communal areas, including two lounges, a dining area, and gardens for people and their visitors to use. The service is situated over two floors. There are accessible bedrooms on both floors by either the stairs or a lift. There were communal toileting and wash facilities for people who used the service. A previous inspection took place on 17 February 2015 and the service was rated overall as ‘good’. There were no breaches of the Health and Social Act 2008 (regulated Activities) Regulations 2014.
This unannounced inspection took place on 28 September 2016.
There was a registered manager in place during this inspection. 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.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and report on what we find. Applications had been made to the local authorising agencies to lawfully restrict people’s liberty where appropriate. Staff were able to demonstrate an understanding of the MCA and DoLS to reduce the risk that people would not have their freedom restricted in an unlawful manner.
Plans were in place to minimise people’s identified risks and to assist people to live as independent and safe a life as possible. We found detailed records were in place as guidance for staff to monitor people’s assessed risks and health conditions.
People were supported by staff in a respectful and kind way. We saw that there were lots of positive interactions between staff and the people they supported. However, there were also some missed opportunities for staff to fully engage with the people they were assisting.
Arrangements were in place to support people with their prescribed medicines. People’s medicines were stored and disposed of appropriately. However, accurate records to document people’s medicines were not always kept.
When required, people were referred to and assisted to access a range of external healthcare professionals. People were supported to maintain their health and well-being.
People’s support and care plans gave detailed and individual prompts and guidance to staff on any assistance a person may require. They included the person’s wishes on how they were to be supported and their likes and dislikes. An activities co-ordinator and staff assisted people with their interests and activities and promoted social inclusion. People’s family and friends were encouraged to visit the home and staff made them very welcome.
Staff were trained to provide care and support which met people’s individual needs. The quality of staff members’ work performance was reviewed during supervisions and appraisals. This was to make sure that staff were deemed confident and competent by the registered manager to deliver people’s support and care needs.
Staff understood their responsibility to report any suspicions of harm or poor care practice.
There were pre-employment safety checks in place to make sure that all new staff were deemed suitable to work with the people they supported. There was a sufficient number of staff to provide people with safe assistance and care.
The registered manager sought feedback from people and their relatives. People who used the service and their relatives were able to raise any concerns or suggestions that they had with the registered manager and staff and feel listened to.
Staff meetings took place and staff were encouraged by the registered manager to raise any suggestions for improvement or concerns that they may have had. Quality monitoring processes to identify any areas of improvement required within the service were in place and formally documented any action required and taken.