St Faith's Nursing Home

People are accommodated in one adapted building. Each person is provided with their own private bedroom with toilet and washing facilities. Additional toilets and bathrooms are available and are adapted to accommodate people's needs. A choice of communal areas provides additional places to sit, eat and take part in social activities. There is easy access to a garden with adaptions to the home's entrances to accommodate wheelchairs. Car parking is on site.

During the inspection and after, immediate action was taken to ensure these two people's medicines management was reviewed. Action was also taken to improve the monitoring of people's medicines administration and the action taken when recording errors were identified. It was too early for us to make a judgement about whether the action taken would be effective in reducing risks to people.

The provider's quality monitoring processes, for monitoring other areas of the service and making improvements where needed was working well. In all other ways the service was being well managed. People told us they would recommend the service to others. A senior management structure was in place providing consistent leadership for staff who were being supported to work in such a way which resulted in good outcomes for people. There were effective communication processes in place to ensure people, their relatives and staff felt well informed of any changes to the service.

An open and transparent culture had been developed where staff were confident to challenge poor practice and people and their relatives felt able to report any concerns they may have. Staff felt well supported and valued by both the registered manager and provider. They told us they felt proud to work at St Faith's Nursing Home. People considered the home to be well-led and they confirmed senior managers were visible and approachable. Managers engaged with people and their relatives to seek their views on the services provided to them. They were keen to learn from areas of dissatisfaction or when things did not go to plan.

Other medicines had been administered to people as prescribed. Medicines were received into the home in time for administration and they were stored according to pharmaceutical guidelines. Risks to people's health and potential environmental risks were identified, assessed and managed to reduce or mitigate risks altogether. People lived in a clean home where arrangements were in place to prevent and control infection. There were processes in place to learn from errors and near misses, so staff practice, and the service people received could continually improve.

People told us they were well looked after, and they had confidence in the staff to meet their needs. Staff received training and support to be able to meet people's needs safely and lawfully. People told us they received plenty of food and drink and had a choice in what they ate and drank. People's nutritional health was supported, and any associated risks to this assessed and managed.

People confirmed they had access to healthcare professionals who helped them maintain their health. Staff worked with commissioners of adult social care and acute health care to ensure people could access support when they needed it. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive was possible and in their best interests. The policies and systems in the service supported this practice.

People told us staff were kind, caring and supportive. Care was delivered in a way which maintained people's dignity and privacy. People told us staff explained things to them in a way they could understand. Staff supported people to maintain their independence and, where possible, to retain skills they already had. Those who mattered to people, family, representatives and friends were made welcome and could speak on behalf of people where needed. There were no restrictions on visiting.

People's care was planned and designed around their needs and personal preferences. People or their representatives were included in this planning and in the review of their care. Care was reviewed and altered to accommodate changes in health, abilities and risks. People told us they were treated as individuals and their care was personalised.

People had access to social activities and supported to take part in activities which suited their abilities and preferences. There were arrangements in place for people, their representatives and others to raise a complaint and for this to be investigated and addressed. People's end of life wishes were explored with them, or their representatives, and they were supported to have a dignified and comfortable death.