Priory Mews Care Home

People's experience of the service and what we found: Although improvements had been made to the identification and mitigation of individual risk, further improvement was ongoing to ensure people's safety.

Further improvements were needed to the management of people's medicines, although this area had improved since the last inspection.

The provider had introduced new monitoring systems since the last inspection, however these were not always robust and required further improvement to make sure people received safe and good quality care.

Not all staff understood how to raise concerns outside of the organisation. We have made a recommendation about this. Not everyone had an end-of-life care plan that set out their wishes. We have made a recommendation about this.

Care plan development was still ongoing, and some care plans did not provide the information and guidance necessary for staff to fully understand people's support needs. During our inspection the provider put measures in place to address this. We will check the progress of this at our next inspection.

Staffing levels had improved, and safe staff recruitment practices were now in place. The levels of agency staff had significantly reduced and the agency staff supporting people now were regular agency staff who were considered as part of the team. Cleanliness in the service had improved and there were no areas that were unclean, so the risks around infection control had reduced.

People's needs were now better assessed so care plans could be written in a more individualised way. Improvements had been made to the premises so people were living in a more pleasant environment. Staff had completed their training and were more able to put this into practice. Staff said they felt well supported. People received better care with their health needs and the advice of healthcare staff was now followed. People were happy with the food provided, and their meals, and told us they could choose other options if they wished.

People's care had improved, and staff treated people with kindness and respect. People and their relatives told us they were happy with the care provided and felt staff knew them well and understood them. People now had the opportunity to engage in activities, visits out, or chatting with staff to enable a more meaningful day. When people and relatives complained or raised a concern, these were now investigated, and lessons were learned.

Staff said they felt listened to and were able to speak up if they needed to. Staff had only positive things to say about the provider and manager and were happy with the changes being made, such as the new electronic care planning system and improvements to the environment. Staff culture had improved and there was a happy atmosphere across the service. The provider had engaged with people, relatives and staff, through meetings and surveys. The provider had submitted notifications to CQC as required since the last inspection.