Chaxhill Hall

We found since our last inspection, improvements made to several other aspects of medicines management. People told us they were provided with support to take their medicines.

The provider had made improvements in how they quality monitored the service which the registered manager had found supportive. We also found improvement to how areas of the service were audited, but also found gaps in the completion of the audits. Time was needed for these to be used more effectively so they could robustly support, an already improving system, to maintain compliance and service improvement.

Safeguarding processes had been reviewed to ensure the reporting of safeguarding concerns, to the local authority and other relevant agencies took place in a timely manner. There were now arrangements in place to ensure appropriate investigation and action took place in response to safeguarding concerns. People told us they felt safe and people's representatives told us their relatives were looked after safely.

Improvements had been made to ensure risks to people were assessed in a timely manner and action taken to reduce these. Staff had been supported to understand their roles and responsibilities regarding risk management. A new care records system had been implemented to ensure risk assessments and associated care plans were detailed and regularly reviewed for staff reference. We observed some arrangements put into place to help people remain safe, which included the use of technology such as alarmed sensor mats and specialised equipment.

Improvement had been made to the cleaning arrangements and to infection, prevention and control practices. Staff were following national guidance regarding the use of face masks and other personal, protective, equipment (PPE) to prevent the spread of infection. People told us their bedrooms were cleaned daily and they had been supported to have Flu and COVID-19 vaccinations. There were no visiting restrictions and visitors were being supported to visit their relatives and friends safely.

Arrangements were in place to keep the environment secure and safe for people who lived with dementia. We observed staff supporting people skilfully, who sometimes became distressed due to dementia, to stay safe and regain a better state of wellbeing.

The registered manager was visible to people who used the service and their visitors. Relatives described them as 'helpful' and 'easy to talk with'. Staff appreciated the support and leadership they provided and felt positive and invested in the service. Feedback was sought from relatives and people to support service improvement. Learning had been taken from past inspections, complaints, concerns raised and errors to help develop staff practice.

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.