Two Acres Care Home

People's experience of using this service: This service has been in special measures. Services that are in special measures are kept under review and inspected again within six months. We expect services to make significant improvements within this time frame. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of special measures. Some improvements were still required to records, quality monitoring systems and health and safety checks, however overall, we found significant improvements to the quality of the care provided. The provider had implemented a number of wide-ranging changes across the service which had improved the quality of the care provided. These included changes to the management team, the introduction of an electronic care management system, an increase in staffing levels, a reduction in the use of agency staff, and changes to the quality monitoring processes in the home. People using the service were safe. Risks to people were monitored and responded to. Systems to safeguard people were in place and concerns were reported appropriately. Staffing levels in the home had been increased and people were supported by staff who knew them well. Regular audits of medicines were made and improvements had been made regarding their management and administration. Improvements in how people were supported at meal times had been made. People had choices in relation to the meals on offer and were more involved in discussions regarding food options. Staff sought people's consent regarding the care provided and their ability to make individual decisions was assessed and recorded. Positive outcomes were achieved for people through staff working effectively with others. There was good training and support for staff to help them understand and meet the individual needs of people using the service. This included regular competency checks and observations of staff practice. The provider had implemented a programme of refurbishment across the home. Environmental improvements had been made. The design and decoration of the building met people's needs. Staff were kind, caring, and supported people's dignity and independence. Systems had been improved to ensure people and relatives were engaged and involved regarding decisions about their care and support. Improvements had been made to people's care plans and their involvement in them. The care provided met people's individual preferences and needs, this included in relation to the provision of activities. Positive comments were received regarding the manager, their openness, and their proactive approach. Improvements had been made to the involvement of people, relatives, and staff in the running of the service. People and relatives felt listened to and staff morale had improved.

Rating at last inspection: Inadequate; published 22 November 2018.