McRae Lane

What inspectors found

From the Care Quality Commission's assessment published 21 October 2024 (assessment visit 14 August 2024). Quoted under the Open Government Licence.

1. Safe

   GGood Good

   People were protected from the risk of abuse or harm. Staff understood their duty to safeguard people and what action to take to make sure people would be protected. Safety concerns were dealt with in an appropriate way. Risks to people were managed well. Staff understood how to reduce risks to keep people safe from injury or harm. People were supported to live in a safe environment, which was regularly checked and maintained to ensure risk to people was minimised. There were enough suitably skilled and experienced staff to support people. Staff received relevant training to meet people’s needs. Staff were supported through supervision and appraisal to continuously learn and improve their working practice. Recruitment checks were undertaken on staff to make sure they were suitable to support people. Staff followed current practice to ensure infection risks to people were minimised. People received timely support with their medicines and these were administered as prescribed.

2. Effective

   GGood Good

   People were involved in assessing their needs and their preferences were obtained and used to plan and deliver their care and support. People’s care and support was planned and delivered in line with current practice, legislation and standards. Staff understood people’s needs and met these in line with people’s preferences. The staff team worked well together and with others to make sure people experienced positive outcomes in relation to their care and support needs. People were supported to stay healthy and well. Staff monitored people’s health and wellbeing and made sure people received timely support if they became unwell or needed extra support from professionals with their healthcare needs. The home manager reviewed the care and support people received to make sure this remained effective and helping people achieve positive outcomes. The service was working within the principles of the Mental Capacity Act (MCA).

3. Caring

   GGood Good

   People were supported by staff who were kind, caring and respected their right to privacy and to be treated with dignity. Staff provided care and support to people in line with their individual needs and preferences. People were supported to have choice and control over how their care and support was provided. People were supported to be as independent as possible. Staff were responsive and knew how to minimise risk of any discomfort or distress that people might experience. There were no restrictions placed on visitors to the service. People took part in a wide range of activities at the service and in the community which helped support their independence, health and wellbeing. Staff were well supported with their wellbeing because the home manager understood the impact this could have on the safety and quality of care and support provided to people.

4. Responsive

   GGood Good

   People received care and support that was tailored to them and their individual needs. Staff were responsive to people’s needs, especially when these changed, and ensured continuity of care was maintained in line with people’s choices and preferences. People were provided information in line with their individual communication needs. Staff made sure people’s feedback was acted on if this indicated concerns or if improvements were required. People using the service were treated equally and fairly and supported to access care and support that met their individual needs. Staff understood people’s equality and human rights and respected these when providing people with care and support. The home manager understood the challenges that people might experience due to their protected characteristics and ensured people were supported to receive the care and support they were entitled to. The service had arrangements in place to support people to plan for the future, including at the end of their life.

5. Well-led

   GGood Good

   Staff understood their responsibility to provide people with safe, high quality care in line with the service’s vision and values. They were well supported by the home manager, who was suitably skilled, knowledgeable and experienced. The home manager understood the needs of people using the service and how these should be met. Staff were encouraged to raise concerns and felt listened to. Staff were provided fair and equal opportunity at work and were valued and respected. The home manager checked the quality and safety of the care and support provided to people and any issues identified were acted on and used to support staff to improve their working practices. The home manager understood their role and responsibilities and demonstrated compliance with regulatory requirements. The service worked with partners to support people to experience positive outcomes in relation to their needs. Feedback was sought from people and staff about how the service could be improved. Feedback was used, with other learning, to make improvements to the service when this was required.