Valley View Care Home Ltd

There were improvements to how people were supported to make decisions and choices, however, people were still not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The provider had introduced new monitoring systems since the last inspection however; these were not always robust and required further improvement to make sure people received safe and good quality care. Monitoring systems introduced since the last inspection were not always robust to make sure people received safe and good quality care.

Staff understood their responsibilities in relation to keeping people safe, they felt confident in raising concerns. People could be assured their prescribed medicines were now managed better by staff. Staffing levels had improved, and safe staff recruitment practices continued to be in place. The levels of agency staff had reduced and the agency staff supporting people now were regular agency staff who were treated as part of the team. The management of fire safety had improved, staff had completed fire evacuation drills more regularly.

Staff continued to complete their training and the provider had a system to check this. Staff said they felt well supported. People received better care with their health needs and the advice of healthcare staff was now followed. People were happy with the food provided, and their meals, and told us they could choose other options if they wished.

Staff culture had improved, no staff reported concerns of bullying as they had at the previous 2 inspections. Staff said they felt listened to and were able to speak up if they needed to. Staff had only positive things to say about the provider and registered manager and were happy with the changes being made, such as the new electronic systems. The provider had engaged with people, relatives and staff, although improvements could be made around how they fed back the findings of surveys. The provider had submitted notifications to CQC as required since the last inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk