Cuffley Manor Care Home

The home had a registered manager in post; however this had been a temporary arrangement as another of the providers registered managers provided cover whilst a new manager was recruited. This was due to be transferred to the newly appointed new manager shortly after our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe living at Cuffley Manor Care Home. Staff were aware of how to keep people safe and ensure risks to people's safety and well-being were identified and managed. There were sufficient numbers of staff deployed to support people in a timely manner and recruitment checks were robust to ensure staff employed were sufficiently skilled. There were suitable arrangements for the safe storage, and administration of people's medicines, including controlled drugs, and people's medicines were regularly reviewed.

Staff had the skills and knowledge necessary to provide people with safe and effective care and demonstrated this throughout the inspection. Staff received regular support from management which helped them feel supported and valued. People were asked for their permission before staff assisted them with care or support. People received appropriate support and encouragement to eat and drink sufficient quantities and people's nutritional needs were assessed and monitored effectively. People had access to a range of healthcare professionals when they needed them and feedback from health care professionals was positive.

People's privacy and dignity was promoted. People told us they were treated with care, kindness and compassion by staff who listened to them and clearly knew them well. Staff spoken with knew people's individual needs and were able to describe to us how to provide care to people that matched their current needs. Advocacy support was available to those people who wished to have support.

People received care that was responsive to their needs and took into account their preferences and supported their independence. A range of activity and stimulation was provided both to people within groups and also individually. People were supported to maintain hobbies and interests. People told us they felt confident to raise anything that concerned them with staff or management. Complaints reviewed demonstrated the manager responded to these appropriately.

People, staff and relatives were positive about the appointment of the new manager. The culture in the

home was open, and transparent. Regular meeting were held with staff to discuss improvements and a robust system of auditing the quality of care was operated by the manager. People's care records required improvement to ensure they provided a comprehensive account people's needs. Arrangements were in place to obtain feedback from people who used the service, their relatives, and staff members about the quality of care services provided. Arrangements were in place to regularly monitor and review the quality of the care and support provided for people who lived at Cuffley Manor Care Home.

The five questions we ask about services and what we found