St Ives Close

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our last inspection visit took place on 17 December 2015 and the overall rating for the home was 'good.' However, the key question, 'is the service caring?' was rated as 'requires improvement.' This was because there were aspects of care that needed improvement to ensure people's dignity was promoted. At this inspection, the necessary improvements have been made, and we have been able to give a rating of 'good' in all the key questions, including, 'is the service caring.'

People continued to be safe living at the home. They were supported by staff who understood how to protect them from harm. Risks to individuals were managed for people, and there were enough staff to meet people's needs and keep them safe. Recruitment processes ensured that staff were safe to work with people and medicines were managed to reduce the risks associated with them.

People received support from staff who had the knowledge to carry out their roles effectively. When people were not able to make certain decisions for themselves, the provider followed the guidance available to ensure the care given was in their best interests. Staff understood how to support people to make decisions when possible. People were supported to maintain a balanced diet and access health care services.

Staff assisted people in a kind and caring manner, and had developed positive relationships with them. Staff knew people well and understood how to communicate with people to ensure they could make choices about their care. People were encouraged to be independent, and staff respected people's privacy and promoted their dignity. People were able to maintain relationships that were important to them.

People and their relatives were involved in the planning and reviewing of the care they received. Their support was provided in an individual manner, and care plans were personal, ensuring people received support that was responsive to their needs. People were supported to participate in activities they enjoyed and were protected from the risk of social isolation. People knew how to raise concerns and these were responded to in a timely manner.

The service continued to be well managed. There were systems in place to monitor the quality of the service. This was through feedback from people who used the service, their relatives, and a programme of audits. These were used to drive continuous improvement. There was a positive culture within the home, and staff felt supported and motivated in their roles. There was a registered manager in post who understood their responsibilities of their registration with us.

The five questions we ask about services and what we found