Whitstable Nursing Home

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice. Staff had not always recorded how and why decisions had been made to support people in a way that may have been restrictive.

Checks and audits had been completed to assess the quality of the service. These had not always been effective in identifying shortfalls such as the shortfalls found at this inspection. When shortfalls had been identified action had been taken to rectify them. This included supporting staff to highlight incidents as quickly as possible and improving the system of reporting concerns to the local safeguarding authority.

People were supported by staff who had been recruited safely and received training and supervision to develop their skills. There were enough staff to meet people's needs, any gaps were filled by regular agency staff.

Medicines were managed safely by nursing staff, people received their medicines as prescribed. People were referred to healthcare professionals when their needs changed, and staff followed the guidance given.

People and staff were asked their opinions on the service and for their suggestions. Improvements had been made to the activities programme and the menu as a result of suggestions by people.