Hill House

Since the last inspection, a new manager has been appointed and has been registered with the Care Quality Commission. People using the service, relatives, staff and professionals commented on the improvements at the service since the arrival of the registered manager. One relative said, "There's better quality staff, who are kind and caring. Admin and communication have improved greatly. The atmosphere is so much better". A professional said, "I have positive encounters with the registered manager and deputy manager when I visit, who appear to really care about their residents".

People received safe care at the service. All those spoken with said they felt safe at the service. Relatives and professionals also expressed their confidence in the service. Comments included, "I am settled and happy here. I can't grumble and I wouldn't be anywhere else". A professional said staff seemed "well informed and able to recognise when referrals to other services are appropriate." A relative told us, "(Person's) health and wellbeing has improved; she is amazing now and getting on so well".

Since the last inspection, staffing levels had increased to ensure people received care in a timely way. Staff training had been addressed to ensure they had the skills to meet people's needs and staff received supervision and appraisals to ensure their practice was as expected.

Improvements had been made to ensure pressure relieving equipment was used safely. All pressure mattresses were set at the correct setting. Staff knew when people were at risk and followed instructions to keep people safe.

Medicines were safely managed. Improvements in medicines management had been made since we last visited. However, attention was needed to ensure records relating to topical creams were accurate.

People were protected from abuse as staff knew who to report concerns about people's safety to. We were assured that the provider was preventing visitors from catching and spreading infections. The registered manager was facilitating visits for people living in the home in accordance with the current guidance.

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.

The registered manager sought the views of the people living at the service and their relatives. Residents' meetings had been re-established and provided a forum for discussion about any changes to the service and to hear of any suggestions for improvements.