29 August 2014
During an inspection in response to concerns
The detailed evidence supporting our summary can be read in our full report.
Is the service safe?
People told us they felt safe. The relatives we spoke with also said they thought their relatives were safe with staff.
Staff had been aware about care plans and support plans had been written for people with particular needs. This promotes people's welfare.
Is the service effective?
People's health and care needs had been assessed and care plans had been in place. There was evidence of people/their representatives being involved in assessments of their needs and planning their care.
Specialist dietary needs were assessed and included in care plans though more detail was needed in some plans to ensure people always had the right food.
All care plans we saw had been reviewed this year but some had not been reviewed regularly in the past. This did not entirely confirm that all of people's needs had been met. Management need to ensure that people's needs are reviewed regularly to make sure they always receive the care they need.
We saw that there were systems in place to ensure that people received their medication. We have asked management to put in place a clear system for the circumstances where people are provided with as needed medication. This will ensure that medication is only supplied when needed in line with their assessed care needs.
Is the service caring?
We spoke with four people. All the people we spoke with, except one person, told us that staff had supported them properly and in a friendly way. One person said 'staff are good. They help us.' One person expressed a reservation about one staff member. The service manager said this would be followed up.