Eachstep Blackley

People we spoke with felt enough staff were available. From our observations and staff feedback we found staffing levels provided little flexibility. Managers told us dependency levels were continually reviewed; staffing levels determined were reflected on the rotas.

People and their relatives spoke positively about the staff and the care and support provided. People said staff treated them with dignity and respect. From our observations, interactions with people and visitors were polite and friendly. People's relatives knew who managers were and felt confident in raising any issues should they need to.

Where possible, people and their relatives were involved in planning their care and support. Electronic care records were detailed and kept under review. Handwritten care plans and monitoring charts were not always kept up to date. Plans were in place to transfer information to the new electronic system.

Capacity assessments and best interest decisions were in place covering people's care and support. 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.

Activity staff were employed to facilitate activities and opportunities within the home. Participation varied depending on people's abilities. People and their relatives also had access to the dementia café and support club.

People's current and changing needs were met. Relevant healthcare support was provided to guide and support staff. People were encouraged to eat a healthy diet. Additional advice and support had been sought where people were at nutritional risk. Additional staff were to be provided at mealtimes to help assist those people who required support with their meal.

Safe staff recruitment procedures were in place. Staff said they worked with a good team that supported each other. Managers were described as 'visible' and said to provide good support. Opportunities for training and supervision were provided to support staff. Staff felt there was good communication and they were kept well informed.

Regular audits and checks were completed to monitor the service. Safe systems for the recording and responding to any safeguarding concerns and complaints were maintained.

Spacious accommodation was provided. Internal and external health and safety checks were carried out. Aids and adaptations were provided throughout to promote people's independence. The home was clean with further improvements being made to enhance the environment and furnishings.