Lace Hill Manor Care Home

There were systems to audit the service and we could see actions were taken to make improvements. However, we found the issues we identified during the inspection had not been picked up in audits.

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. However, we found improvements were required in record keeping about decisions made in people's best interests.

There were sufficient staff to meet people's care needs. Pre-employment checks had been carried out to ensure staff had the necessary skills. People were protected from the risk of abuse. People we spoke with felt they or their relative were safe at the home. Any safeguarding concerns were reported to the local authority.

Risk assessments had been completed to reduce the likelihood of people being injured or harmed. People's medicines were managed safely.

Staff followed good infection prevention and control practice. The home was clean and tidy throughout with good systems for managing laundry and adequate supplies of personal protective equipment.

Staff told us they felt supported and they completed numerous training courses. Training was updated during the course of the inspection.

People received a balanced diet and there was positive feedback about the quality of meals. We observed meals were unrushed and people were supported in a dignified manner.

People were cared for by staff who were caring, respectful and promoted their privacy, dignity and independence. Activities were available to provide stimulation and interest. We observed 1 activity where people enjoyed listening to a singer and some danced along to the music.

People were consulted about their care and asked for feedback in residents' and relatives' meetings.

People were supported to express their wishes regarding end of life care. The home had received numerous thank you cards from family or friends of people who had been cared for at the home.

People who provided feedback to us consistently said the registered manager was approachable and caring. Staff described the home as a good environment to work in and they felt listened to. The home offered its facilities to external organisations to use, to integrate the home with the local community.