Benoni Nursing Home Limited

People's experience of using this service and what we found: Medicine systems and processes were in place. People received their medicines safely and as prescribed. People were provided with the equipment they had been assessed as needing to meet their needs. For example, pressure relieving mattresses. These were correctly set for the person using them.

Staff were recruited safely in sufficient numbers to ensure people's needs were met. Two nurses were on duty each day supported by six care workers. One nurse and two care workers were on duty at night.

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. Any restrictive practices were regularly reviewed to ensure they remained the least restrictive option and were proportionate and necessary. There were systems and processes in place to monitor the Mental Capacity Act, and associated Deprivation of Liberty Safeguards assessments and records.

People told us, "Staff are good at what they do, they encourage you to get well and are proactive on your behalf with health care professionals," "There is nowhere better. I feel comfortable and peaceful and that's what I want" and "The staff are very caring". Relatives told us, "I can't fault the place. They provide good care for [Person's name] and they do a good job. I visit most weeks and they are always very chatty and offer me tea and even a meal if I want it," and "I give the home 'full marks'. The staff are very good, I visit twice a week and as a family we are very pleased Mum is getting the care she needs".

Staff had received appropriate training and support to enable them to carry out their roles safely. The food provided by the service was enjoyed by people. However, meals were not a social event. People were provided with their drinks and food at the seat in which they sat for most of the day. We have made a recommendation about this in the Effective section of this report. There were activities provided for people. People's views on activities were mixed. Activities were not always relevant and meaningful to all the people living at the service. We have made a recommendation about this in the Responsive section of this report.

People received care and support that was individual to their needs and wishes. Care plans were regularly reviewed and updated and were an accurate reflection of people's needs and wishes.

Risk assessments provided staff with sufficient guidance and direction to provide person-centred care and

support.

Audits were carried out regularly to monitor the service provided. Actions from these audits were being acted upon to further improve the service.

We observed many kind and caring interactions between staff and people. Staff spent time chatting with people as they moved around the service.

A complaints process and procedure was available to people. The manager told us there were no on-going complaints at the time of this inspection. People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.