25 April 2019
During a routine inspection
People’s experience of using this service: People were not always kept safe from the risk of harm as actions were not taken to address potential risks caused by environmental and infection control issues at the service. These were rectified at once following the first day of our inspection.
The premises were not designed to support people living with dementia. There was no signage or decorations to support people to orientate themselves to their environment.
People’s needs relating to living with their dementia were not thoroughly explained and detailed in their care plans.
People with complex communication needs did not have access to communication methods to help them make choices or express their views.
We have made a recommendation about adapting the premises and communication methods for people living with dementia.
People told us that there were limited activities to take part in during the day. We saw that people were left for long periods of time with little to do and were not given opportunities to choose or take part in new activities.
People were supported to take their medicines safely.
Necessary recruitment checks were completed before staff members started working at the service. Staff received training and supervisions to perform their job roles effectively.
People were positive about the food and drink at the service and we saw that people were supported to maintain a balanced diet depending on their needs.
People were supported to live healthy lives and saw relevant health professionals when they needed to.
People were positive about the care they received. People were treated with kindness respect and compassion. People’s privacy, dignity and independence was promoted.
People and their relatives were involved in decisions about their care.
People’s preferences for the end of their life were recorded and people were treated with dignity and respect at this time.
The registered manager and provider completed a variety of audits to monitor the quality of the service.
Feedback was collected from people, their relatives and the staff team and was used to improve the service.
The registered manager and provider were positive about improving the service and had several service improvement plans and actions to achieve these improvements.
We identified a breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to good governance. Details of action we have asked the provider to take can be found at the end of this report.
Rating at last inspection: This was the services first inspection since registering with the Care Quality Commission on 12 January 2018.
Why we inspected: This was a planned inspection based on when the service first registered with the Care Quality Commission.
Follow up: We have asked the provider to send us an action plan telling us what steps they are to take to make the improvements needed. We will continue to monitor information and intelligence we receive about the service to ensure good quality is provided to people. We will return to re-inspect in line with our inspection timescales for Requires Improvement services.