Kenmore

Improvements had been made in the oversight of the service, although the recording of capacity and consent required strengthening to ensure records accurately reflected people's needs. Communication between staff around people's physical rehabilitation required strengthening.

People and their representatives said the care provided was safe and people were protected from harm. Risk was monitored and addressed, however this was not consistent. Pressure mattress settings were not set correctly which placed people at risk. However, there was no evidence to show people had come to harm as a result of this.

We have made a recommendation about systems of oversight in gaining user voice, checking pressure mattress settings and MCA systems and processes.

Safe recruitment practices were being followed. There were sufficient numbers of day time staff to meet people's needs. Following our inspection, night time staffing levels were reviewed by the provider and increased to provide additional support.

Improvements were seen in the safe management of people's medicines. Infection prevention and control standards were being followed and the premises was found to be clean.

People were supported to access healthcare services when they needed this support. People received enough to eat and drink from a staff team who understood associated risks. Staff received formal support through training and supervision sessions.

People and their representatives were given opportunities to feedback about the running of the home. The provider notified us of events which are reportable to the Care Quality Commission. The service worked in partnership with healthcare and other professionals to meet their needs.