The Close Care Home

We found, where people were on blood thinning medicines, there were clear processes in place which allowed a multidisciplinary team approach to care. Risks associated with these types of medicines were clearly managed.

We also received information raising concerns about staffing levels and risks for people with percutaneous endoscopic gastrostomy (PEG).

We found the service had enough staff to meet people's needs. During the inspection, call bells were answered in a timely manner and staff did not look rushed. Staff told us there were enough staff to meet people's needs and they never worked when they were short of staff. Records of staff rotas showed planned staffing levels were always met despite the provider using agency staff. The managers told us, and records showed they always used the same agency staff who knew people's needs well.

We found risks in relation to PEGs had been identified and there were management plans in place.

We found people were protected from the risk of acquiring infections and the service was clean. Personal protective equipment was readily available to staff and all staff were following the latest guidance.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.