Lilena Residential Care Home

Risk assessment procedures were satisfactory so any risks to people were minimised.

The medicines system was managed effectively. The system was well organised, we did not find any errors, recording was to a good standard and people said they received their medicines on time. Staff received suitable training about medicines.

Staff were safely recruited. Checks such as employment history, Disclosure and Baring Service and references had been obtained prior to staff starting work. However, evidence of satisfactory conduct in previous care employment had not been obtained for one of the four staff files we reviewed. We raised this with the registered manager to ensure they carried out this check when making future recruitment decisions.

Staffing levels were satisfactory. We observed people receiving prompt support from care staff when required. People said they were happy with the support they received and they did not have to wait too long.

The building was clean, and there were appropriate procedures to ensure any infection control risks were minimised. However the exterior of the building needed cosmetic improvement as its current presentation detracted from generally good facilities and service provided.

The service had suitable assessment systems to assist the registered provider to check they could meet people's wishes and needs before admission was arranged.

People received enough to eat and drink. Some people said the quality of meals was good and they received a choice about the meals they received.

People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests. Policies and systems in the service supported this practice.

Care planning systems were satisfactory. Care plans outlined people's needs and were reviewed when people's needs changed.

People received support from external health professionals and were encouraged to live healthier lives.

People said they received support from staff which was caring and respectful. Care promoted people's dignity and independence. People were involved in decisions about their care.

People had the opportunity to participate in activities. People had the opportunity to regularly go out on trips and for walks.

People felt confident raising any concerns or complaints. The service had an effective complaints procedure.

Staff induction procedures were satisfactory. Staff received suitable training to carry out their roles. Suitable records were available to demonstrate staff received regular one to one supervision with a senior member of staff.

The team worked well together and had the shared goal of providing a good service to people who lived at the home.

The service was managed effectively. People, relatives and staff had confidence in the management of the service.