Ivy Bank Residential Care Home

Risks to people had been identified and action had been taken to mitigate risks. However, detailed guidance had not been provided to staff about how to manage all risk. People's medicines were generally well managed but some records about the number of medicines in stock were inaccurate. Checks and audits completed by the leadership team had not identified the shortfalls we found during our inspection.

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. People were now able to see their visitors without restrictions but some people's relatives were unaware they could visit people's bedrooms.

There were enough staff on duty to meet people's needs. Staff had been recruited safely and action had been taken when staff's conduct did not meet the required standards. Staff knew how to identify and raise concerns about abuse. Staff felt supported and appreciated and were motivated.

Staff supported people to remain as independent as possible. Lessons had been learnt when things went wrong. People, relatives and visiting professionals had been asked for their views of the service.

The service was clean and staff followed national guidance to manage the risk of the spread of infection. Regular safety checks were completed on the building and equipment.