Lower Farm Care Home with Nursing

People were still not always fully protected from risk, particularly the risks posed by poor practice when tube feeding and significant weight loss for people. Previously identified risks to the environment had been satisfactorily addressed.

Systems and governance arrangements did not highlight the issues we found in relation to medicines management and risk.

During the inspection visit people were supported by sufficient staff. People and their relatives gave us mixed feedback about the staffing levels and whether these were adequate or not.

We have made a recommendation about the providers continuing to closely monitor staffing levels to ensure there are consistently enough to meet people's needs.

Despite finding areas of concern the service had been making progress and feedback from a variety of sources was that improved practice was being implemented. This needs to be sustained and fully embedded into the culture of the service.

People were positive about the care staff and told us that their privacy and dignity was promoted.

People were supported and encouraged to participate in activities they enjoyed.

Staff were motivated and enjoyed working at the service. They received training, supervision and were supported in their roles by the manager and provider.

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.

People had to access to healthcare services they needed to maintain good health.