St Clare Rest Home

Accommodation was provided over three floors. Communal areas included a lounge, a dining space and a library. People had their own rooms. People had access to gardens at the rear of the home.

At the last inspection, we found the registered manager had not displayed the previous rating in line with our guidance on their website. It is a legal requirement that a provider's latest CQC inspection report rating is displayed at the service where a rating has been given. This is so that people, visitors and those seeking information about the service can be informed of our judgements. At this inspection, the provider had a new website. The previous rating was displayed clearly on the premises and on their website.

People's experience of using this service: People told us they felt cared for and we observed friendly interactions between people and staff. Staff respected people and enabled people to be independent. A person told us, "I've always been treated with respect, it's my home."

There was a positive culture where staff and management took pride in the care and support they provided There were sufficient staff to meet people's needs, to give the support they needed and to spend quality time with them.

People's medicines were managed safely. Before they came to live at the home, people's needs were fully assessed to ensure that staff could meet their needs appropriately. People had access to a range of healthcare professionals and services. An admission avoidance matron told us, "There is good communication between staff. They know the people well. Staff know when to call us for help."

People were safe and were supported by staff who were trained to recognise the signs of any potential abuse. Staff had been trained in safeguarding and knew what action to take if they had any concerns about people's safety or welfare. People's risks were identified and assessed appropriately. Staff knew how to keep people safe in an emergency, such as a fire.

People were supported by staff whose suitability was checked through a robust recruitment process. Staff completed relevant training and were experienced in their roles to provide effective care to people. Staff told us they felt well supported, received regular supervisions and an annual appraisal.

People were supported to have maximum choice and control of their lives and staff supported them in the

least restrictive way possible; the policies and systems in the service supported this practice. People had a range of structured activities available. People were supported to maintain relationships that were important to them.

Care plans guided staff about people's needs and how to meet them. Staff supported people to be involved in decisions about their care. No-one living at the home required end of life care at the time of the inspection, staff spent time with people to understand their end of life wishes which were recorded.

Staff, people and relatives told us they were given opportunities to give their views on the service and felt confident that feedback was listened to and acted upon.

This service met the characteristics of Good. More information is in the 'Detailed Findings' below.

Rating at the last inspection: Requires Improvement. The last inspection report was published on 1 May 2018.