St Andrews House

At our last inspection the provider had failed to fully assess the risks relating to the safety and wellbeing of people and the environment. At this inspection, improvements had been made and the service was no longer in breach of regulation 12.

People told us they felt safe. There were sufficient staff available to meet people’s needs. Staff were recruited safely. The home was clean and staff followed good infection control and prevention practices. People received their medicines as prescribed and were supported by trained staff in the safe handling of medicine. Individual and environmental risks were well managed.

People told us staff had a caring approach and treated them with kindness, dignity, and respect. Staff empowered people to make choices and promoted independence. People’s care records reflected their individual preferences, beliefs and values. Staff understood how to provide personalised care.

People were involved in their care planning and their preferences, likes and needs were clearly documented. Staff worked in line with these and demonstrated a commitment to promoting people’s rights and choices. The provider had systems in place to ensure people were encouraged to give feedback, and this was used to drive improvement.

At our last inspection the provider had failed to ensure effective governance arrangements were in place and their systems and processes to monitor the quality and safety of the service were ineffective. At this inspection improvements had been made and the service was no longer in breach of regulation 17.

The provider had implemented a range of effective quality audits and checks which focused on improving outcomes for people. This demonstrated lessons had been learned. Staff felt supported and were confident to raise any concerns or suggest areas for improvement. Staff felt listened to and described the management team as approachable. Staff told us there was a strong emphasis on teamwork.