Residential Care Providers Limited

People were protected from abuse by staff who understood how to identify and report any abuse concerns. Risks to people's health and wellbeing had been assessed. Appropriate risk assessments were in place and included guidance for staff on how to minimise risks to people.

We checked the arrangements in place in respect of medicines. Care workers had received medicines management training and policies and procedures were in place. The majority of Medicines Administration Records (MARs) we looked were completed with no unexplained gaps. However, where we found gaps the service had failed to identify these. We have made a recommendation in respect of this.

Appropriate recruitment checks had been carried out. The home had adequate staffing levels and staff were able to attend to people's needs. This was confirmed by staff we spoke with.

The premises were clean and tidy. There was a record of essential maintenance carried out. Appropriate fire safety arrangements were in place. Steps had been taken to protect people from the risk of infections.

Staff had received appropriate training and they had the knowledge and skills to support people and were supervised. Staff spoke positively about their experiences working at the home and said that they received support from management. Teamwork was effective in the home.

Staff supported people to have a healthy and nutritious diet that was in line with their individual dietary needs and preferences.

Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way

possible.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. DoLS ensure that an individual being deprived of their liberty is monitored and the reasons why they are being restricted is regularly reviewed to make sure it is still in the person's best interests. DoLS authorisations were in place where appropriate.

Staff adopted a caring, friendly and professional approach in their work. People were treated with dignity and were respected at all times. Staff promoted people's independence. Staff and management understood the need to promote equality and diversity and considered people's protected characteristics.

People and their relatives' involvement in decision-making about the care provided was encouraged by staff and management. People's care plans supported a person-centred approach. People had support to lead lifestyles of their choosing, access the local community and participate in recreational activities. People's wishes and choices about their end of life care were explored with them.

An appropriate complaints procedure was in place. We noted that since the last inspection, the service had not received any complaints.

People benefitted from a service that had an open and inclusive culture. The home was managed effectively. Morale among staff was positive and they spoke enthusiastically about working at the home. Staff told us management were approachable and felt their own work was valued.

Management monitored the quality of the services and safety of the service to ensure it remained safe for people. Quality assurance systems and processes were in place to enable management to monitor and improve the quality of people's care.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.