Old Wall Cottage Care Home

The planning and provision of meaningful activities for people had improved. They considered people's individual needs and preferences, including those cared for in their rooms. The environment was enhanced so that people who lived with dementia were able to locate themselves around the building. Adjustments were made so that people could spend time in quite spaces as they chose.

People told us they were safe at Old Wall Cottage. Staff understood their responsibilities in safeguarding people from abuse and knew how to report any concerns they had. Assessments were carried out to identify any potential risks to people and measures put in place to mitigate these. Medicines were managed safely. The home was clean and hygienic, and staff maintained effective systems of infection prevention and control. The provider exercised safe recruitment practices.

There were enough staff on each shift to keep people safe and meet their needs. People told us they did not have to wait when they needed support and did not feel rushed when staff provided their care. Staff received an induction when they started work and had access to the training they needed for their roles. Staff were expected to meet regularly with their managers for supervision and appraisal.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to maintain good health and to access healthcare services when they needed them. They received person centred care, planned and reviewed to meet their individual needs. People and relatives told us staff knew them well. Staff supported people in a kind and compassionate way, considering their dignity and respect.

People, relatives and staff spoke positively of the culture within the home. Communication amongst the staff team was effective, which helped ensure people received safe and effective care. Staff were well- supported by their managers and colleagues and felt valued for the work they did. Staff and managers had developed effective working relationships with other professionals involved in people's care and implemented any professional guidance effectively.

The home was following up to date government guidance relating to COVID-19 for care homes. Cleaning and infection control procedures followed the relevant COVID-19 guidance to help protect people, visitors and staff from the risk of infection.