Gleneagle House

This inspection took place on 20 November 2018 and was unannounced.

At the last inspection, carried out on 21 June 2016, the service was rated Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

Staff followed the provider's procedures to support people to stay safe from abuse and from any incidents and accidents occurring. Staff carried out pre-employment checks before they started working with people to ensure their suitability for the role. Some people told us there was not enough staff to support them during the day, but we found that staffing levels were regularly assessed to meet people's care and support needs.

Comprehensive risk assessments were in place to protect people from potential risks in the community. However, there were no risk assessments for people who smoked, some medicines protocols were not provided for staff and information was missing on the actions staff had to take to support people to leave the building safely in an event of fire. The registered manager took immediate action to address these concerns and updated records to ensure people's safety.

Where people required support to prepare their meals or attend to their health needs, staff provided them with appropriate assistance.

Mental Capacity Act (2005) principles were followed by staff to support people in the decision-making process.

Systems were in place to review and monitor staff's developmental needs. Staff completed training relevant

to their role to ensure they had the required knowledge and skills to support people effectively. Although staff were aware of people's mental health needs, they were not provided with a mental health awareness training. This was addressed by the registered manager in a timely manner after the inspection.

Staff were caring towards people's support needs and helped people to make decisions related to their daily lives. People were encouraged to be as independent as possible and make choices about their everyday activities. Staff provided support that was respectful towards people's care needs and privacy. People had assistance to maintain their relationships where necessary.

People were involved in planning their care and staff had access to information on how people wanted to be supported. People's care needs were assessed and recorded appropriately to ensure consistent care provision. People provided feedback about the services they received.

People, health professionals and the staff members we spoke to felt that the service was well led which ensured good care for people. Systems were in place to support and motivate staff in their role and to encourage them to take responsibility for the care provision. Quality assurance processes were used to monitor staff's performance and to review care records making sure they reflected people's changing needs.

The five questions we ask about services and what we found