Acacia Court

Individual incidents were reviewed and action was taken to reduce the risk of recurrence. However, the manager did not always robustly analyse overall themes and trends to identify additional opportunities to improve safety. We have made a recommendation about this.

The environment was not fully designed to meet the needs of people living with dementia. However, a recent survey had been conducted by an external agency who specialise in environmental design for people living with dementia and an action plan was underway to make the necessary improvements. The communal areas of the home and people's bedrooms were clean and hygienic.

At the time of the inspection, no structured activities plan was in place. However, our observations found people were generally engaged. Before the end of the inspection, a full activity plan was put in place which was designed to offer meaningful stimulation and meet people's social needs.

Risks to people's health and safety were assessed and measures were in place to mitigate the risk. Staff knew people's individual risks and followed control measures needed to keep people safe. Staff were knowledgeable about people's dietary needs and supported them to maintain adequate nutrition and hydration levels.

People were protected from abuse. Staff received appropriate training and were clear on the potential signs of abuse and how to raise concerns.

Overall, staff were safely recruited and deployed in sufficient numbers to meet people's needs. Staff received a thorough induction and completed mandatory training to enable them to carry out their job roles effectively. The provider understood the need to arrange specialist training to enable staff to understand and meet the needs of people who were living with dementia.

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.

People received a responsive and person centred service. There were effective systems in place for staff to escalate any concerns they had about people's health, ensuring appropriate input and advice from relevant health professionals was sought and acted upon. Relatives were positive about the care and support their loved ones received and told us staff go above and beyond to ensure their loved ones are well cared for. People received sensitive support to maintain their privacy, dignity and independence.

The provider understood the importance of making information accessible. Staff were committed to ensuring they could communicate with people effectively.

Processes were in place to gather feedback from people and relatives. We found feedback was used to improve the quality of the service. There was an effective complaints management system in place. Staff told us the manager was approachable and listened to any concerns they had.