Tall Trees

Staff interactions were kind and caring they treated people with respect and dignity. There were systems in place to support people and staff which ensured equality, diversity and human rights. There were processes in place for people to speak up if they had any concerns.

The environment was maintained to keep people safe, however areas of the home were showing signs of wear and tear and in need of attention. We also signposted the provider to consider the design of the environment so that it meets the needs of people who may live with dementia or a dementia related condition to help them keep orientated, informed and to maintain their independence.

The home was mostly clean and hygienic; however, we did see some evidence of poor housekeeping on our first assessment visit which we shared with the management team. Personal protective equipment was in place and available for staff as and when they required it.

Overall, individual risks to people were identified and manged, they were supported by staff to live healthier lives and to be as independent as possible, reducing their future needs for support and care. However, this was not always consistent Healthcare professionals told us of anomalies with continuity of care, communication and safeguarding's not always being reported in a timely manner which meant delays to people receiving appropriate care and treatment.

We received mixed feedback from staff regarding the running of the service, with many staff members not feeling listened to and supported in their role by the approach of the management team. The registered manager was receptive to our feedback of the shortfalls and inconsistencies identified at the inspection and told us of the actions they were taking to address the concerns. This included implementing improvements to the culture, so staff felt able to speak up and raise concerns. We were encouraged by the actions taken but these measures need to be sustained and embedded into the service to demonstrate continual development.