Sandbeck House Residential Home

Under the leadership of the new manager, significant progress had been made. All five breaches of regulations identified at our last inspection had been addressed.

However, further improvement was required to provide people with more stimulation and occupation; to ensure staff consistently worked in accordance with the training they had been given and to ensure staff worked consistently in a person-centred way.

More positively, staff were kind and caring and were aware of the importance of promoting people's dignity, privacy and independence. People received food and drink of good quality that generally met their individual preferences. The care planning system was effective.

Staffing resources were managed safely and effectively to meet people's needs. Staff recruitment was safe. Staff worked together in a mutually supportive way and liaised with a range of external health and social care agencies on behalf of the people in their care.

The provider assessed and managed potential risks to people's safety and welfare. Systems were in place to ensure effective infection prevention and control. Staff knew how to recognise and report any concerns to keep people safe from harm

Staff were aware of people's rights under the Mental Capacity Act 2005 and supported people to have choice and control of their lives, in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

The home was well-led. The manager provided supportive, hands-on leadership and had the respect and trust of her team. A range of audits was in place to monitor the quality and safety of service provision. Senior staff were aware of the need to notify CQC of any significant events.

Lessons were learned when things went wrong and any complaints were managed effectively. The provider

was committed to the continuous improvement of the service.