Casterbridge Manor

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to Good. Good: This meant people were safe and protected from avoidable harm.

People were safe and protected from harm. There was a safeguarding reporting system in place that staff expressed full confidence in using. Safeguarding referrals had been made as necessary. Accidents and incidents were logged, trends identified and risks had been identified and mitigated. Lessons were learnt from events within the home. People received medicines as prescribed. Infection prevention and control measures were robust. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act 2005 (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). We checked whether, and found the service was working within the principles of the MCA, whether appropriate legal authorisations were in place when needed to deprive a person of their liberty, and whether any conditions relating to those authorisations were being met . Safe recruitment practices were followed, and staff had received training appropriate to their role that was up to date. Staff told us they were enabled to develop and fulfil their roles, and their performance was regularly reviewed and monitored. There were sufficient and appropriately trained and experienced staff in place to support people, retention of staff is very good, as is the consistency of staff.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to Good. Good: This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

Leadership was visible and demonstrated effective oversight over people's current needs and risks to their health and safety. People and staff had confidence in the management of the service and felt included in decisions made. There was an inclusive and positive culture of continuous learning and improvement. This was based on feedback and meeting people’s needs. Good, well established, links had been made with external professionals. Audits completed had checked all parts of the service were working well and actions were taken to rectify any shortfall or negative impact on people.