Collyhurst

Improvements were required to ensure safe medicines practices. Errors had occurred due to failures in the systems to support safe medicines practices.

Some areas of the home did not promote good infection control processes. For example, the main downstairs bathroom's extractor fan was extremely dirty and the skirting boards were hanging away from the wall and could not be cleaned properly. Some areas required de-cluttering.

Systems and processes were in place to monitor and improve the quality of care provided but they were not effective in identifying the areas of improvement we found during our visit. For example, records did not always contain enough information on how to reduce risks, fluid charts were not being reviewed, medication errors and some infection control risks within the environment had not been identified. Where people's capacity to make decision was questioned, mental capacity assessments had been completed. However, these required more detail to evidence how decisions about a person's capacity had been made.

People and relatives provided mixed feedback about the quality of food. The mealtime experience required some improvements. Drinks were not offered to people until after the meals had been served and adding gravy to a meal was assumed and without the person's involvement.

People told us there were enough staff to meet their needs. Staff told us staffing levels enabled them to look after people safely and records confirmed that assessed staffing levels were maintained. The provider was facilitating visitors in line with government guidance.

People told us staff were caring and treated them with kindness and compassion. Relatives were complimentary about the standards of care provided at the home. People chose how their care was provided and were encouraged to express their views.

People received personalised care and told us staff were responsive to their individual needs. There was a calm atmosphere within the home and people told us they felt safe. Staff understood their safeguarding responsibilities.

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 told us staff were responsive to their health needs. The registered managers worked effectively with external health and social care professionals such as the GP who conducted a virtual weekly ward round