Promenade Care Home

The registered manager did not have oversight of all safeguarding incidents and therefore, appropriate investigation and referral to the safeguarding authority had not always taken place.

People received their medicines as prescribed. However, medicines administration records (MAR) were not always completed in line with best practice guidance, and we found missing signatures on multiple records.

Records relating to food and drink intake were not always reflective of people's needs. This increased the risk of people not being supported effectively in this area.

Monitoring systems had failed to identify all shortfalls found during the inspection process with risk management, accident and incident processes and safeguarding. This meant opportunities to drive improvements to quality and safety were missed.

The provider and manager were receptive to the concerns found during the inspection and took immediate and robust action to reduce the risk of harm to people living at the home. We were assured that enough action had been taken reduce the likelihood of harm before the inspection process concluded.

People told us they felt safe living at the home. Relatives also felt their loved ones were kept safe. The home was clean and hygienic throughout. People and their relatives spoke positively about the cleanliness of the environment.

Our observations found that staff were deployed in sufficient numbers to meet people's needs. Staff were recruited safely and had the necessary pre-employment checks completed before they started work.

Staff received an induction and completed mandatory training to enable them to carry out their job roles effectively. It was clear from our conversations with staff that they were skilled and knew people well.

There were effective systems in place for staff to escalate any concerns they had about people's health. People and their relatives told us staff were attentive and could pick up very quickly on changes in relation to their health.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Systems were in place to gather feedback from people, relatives and staff and the registered manager understood the importance of using this feedback to improve the home. The registered manager was approachable, consistent, and visible. As a result, staff felt respected, valued and supported.