Cymar House

People told us staff asked their consent before supporting with care tasks. People were supported to have maximum choice and control of their lives and we did not find evidence of care not being delivered in people's best interests, however, for people who were not able to consent to their care, mental capacity assessments and best interest decisions were not always decision specific or being completed in line with regulations and best practice. We saw examples of relatives signing consent forms without having the lawful authority to do so.

We received mixed feedback about activities happening at the home. Some people told us they enjoyed the activity provision; other people told us there weren't many activities happening. There was a lack of evidence of regular activities for people who stayed in their bedrooms and for people living with dementia. We made a recommendation for the provider to review and implement good practice in this area.

Medicines were mostly well managed, and people received their medicines as prescribed. Improvements were required in relation to how people's 'as and when' required medicines were recorded and how effective it had been.

Most people told us they felt safe and enjoyed living at the service; their comments included, "It's lovely here, they are good to you." Relatives shared mainly positive feedback as well.

People were supported by a consistent team who knew people well.

Infection and prevention measures were in place to ensure people, staff and visitors were safe. We received feedback indicating that visiting guidance was not always being followed but the registered manager told us they were updating this and there were no restrictions on visiting.

Risk managements to people's care were assessed and control measures put in place to manage those risks.

We received positive feedback regarding staff being kind and caring. Staff spoke kindly about people and knew about their and preferences needs.

Staff felt well supported by management. There was a system in place to ensure staff were inducted and shadowed other experienced members of staff. Staff received varied training to meet needs of people they were supporting.

The registered manager collaborated with this inspection, was receptive to the inspection findings and acted on the issues found or told us the action they would take to address the issues identified.