Cathedral View House

People'S experience of using this service and what we found At the previous inspection we found medicine systems and processes were not robust. At this inspection we found improvements had been made. People received medicines as prescribed. Staff had received additional training in supporting people with medicines. Management had oversight of medicine systems and followed best practice guidelines.

At the previous inspection we found care plans did not always report on when people's needs changed and information in care plans was not always up to date. At this inspection we found improvements had been made and care planning, reviews and staff understanding of people's needs were current. Staff told us they had the information they needed to support people. Improvements had been made in auditing systems and processes.

At the previous inspection we found risks to people were not always being monitored and recorded accurately. Staff did not always follow guidance provided, such as when to re-position some people. Pressure relieving mattresses were not always set correctly. At this inspection improvements had been made. There were records showing risks and monitoring of equipment was in place.

At the previous inspection we found infection control measures were not effective. There was no clear system for staff to ensure effective cleaning of equipment. At this inspection we found improvements had been made. There were processes in place to prevent and control infection at the service.

At the previous inspection we found people living with dementia did not have pictorial signage to support them to navigate their environment. At this inspection improvement had been made. Signage for bedrooms, bathrooms and communal areas supported people to navigate around the service independently.

Safeguarding processes were in place to help safeguard people from abuse. Risks associated with people's care had been assessed and guidance was in place for staff to follow. Medicines were safely managed.

The service's recruitment practices were safe and there were sufficient numbers of staff available to meet people's care needs. People told us, "If you need them, they come quickly, they are very quick" and a relative said, "The carers, they are amazing".

People's capacity had been assessed following the principles of the Mental Capacity Act 2005 (MCA). Where people lacked capacity there had been applications made to the local authority for any Deprivations of

Liberty Safeguards that were necessary to keep people safe and protect their rights.

Staff were using PPE correctly and following current infection prevention and control guidance to help keep people safe. All staff had been provided with additional training in relation to the Covid-19 pandemic and arrangements made to enable relatives to safely visit.

The registered manager provided effective leadership. Staff told us they had been well supported and reported the registered manager had made significant improvements within the service.

The service's quality assurance systems were effective, and action had been taken to address and resolve the breaches of the regulations identified at our last inspection.

Feedback from people and relatives about the service's performance was valued by the registered manger and any issues raised had been investigated and resolved. The duty of candour was understood by the registered manager and relatives told us the service communicated with them effectively.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk