Inwood House

Risks to people's safety had been assessed and action had been taken to mitigate risks and keep them reviewed. 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 home was clean and smelt fresh. Systems were in place to make sure all areas of the home had a regular thorough clean. Staff had access to personal protective equipment (PPE) and were observed to wear it appropriately as needed. Staff had been given training and had guidance on infection prevention and control (IPC) good practice. Management carried out IPC audits regularly to monitor systems and practice.

People were being cared for by enough staff. The provider had recruited staff safely and been successful in filling gaps in staffing numbers. Staff were aware of their role in safeguarding which helped to keep people safe. Incidents and accidents had been recorded and reviewed. Any learning was shared with staff to prevent reoccurrence.

People and relatives told us people were safe at the service and they had no concerns with care provided. Relatives told us staff worked hard to meet people's needs and kept them up to date with any changes. People were able to have visitors when they wished in any part of the service.

Meetings were held regularly, and staff had daily handovers. There were good communications amongst the team, and we were told staff morale was good. Staff felt well supported by the provider and felt able to raise any concern or share their ideas. People had regular reviews which their relatives were involved in.

There was no registered manager at the service, but a new manager had been employed. Feedback about the new manager's approach was positive. Relatives, staff and professionals told us the manager was approachable, calm and attentive. Support was available to the manager from the provider and the owners visited regularly.

Quality monitoring systems were in place which helped to check various areas of the home. Any actions identified were carried out to make sure the service was continually improving. Following the inspection in October 2021 we imposed a condition on the provider's registration to submit a monthly action plan to CQC. The provider had complied with this condition and we received a regular action plan. Whilst we saw improvements had been made, not all incidents had been notified to CQC. We have made one recommendation about governance systems.