The Island Residential Home

Staff had been recruited safely to ensure they were suitable to work with people. People had regular staff who they knew well. People were well supported by competent, knowledgeable and well-trained staff. Staff were well supported by the management team.

The premises were clean and free from odours. We were assured that the provider's infection prevention and control policy was up to date.

Risks to people's safety had been well managed. Risks to the environment had been considered as well as risks associated with people's mobility and health needs. The provider continued to have systems in place to monitor accidents and incidents, learning lessons from these to reduce the risks of issues occurring again.

The design and layout of the service met people's needs. Signposts were in place which helped people living with dementia.

Prior to people moving into the service their needs were assessed. These assessments were used to develop the person's care plans and make the decisions about the staffing hours and skills needed to support the person.

Meals and drinks were prepared to meet people's preferences and dietary needs. People told us they liked to the food.

The service was well-led. The management team carried out the appropriate checks to ensure that the quality of the service was continuously reviewed, improved and evolved to meet people's changing needs. The management team promoted an open culture and were a visible presence in the service, staff felt listened to and valued.

People were protected from abuse and avoidable harm. People's medicines were well managed.

When people needed medical attention, this was quickly identified, and appropriate action was taken. For

example, if people were losing weight referrals were made to dieticians, or if people fell regularly, they were referred to a fall's clinic. Staff worked closely with the GP and other health professionals.

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.