Ersham House Nursing Home

There were suitably trained staff deployed, but the numbers of staff on duty had not always ensured peoples' needs were met consistently. Staffing levels had the potential to impact on safe outcomes for people's health and well-being, such as remaining in bed in their bedroom as staff had not time to hoist them and being assisted with meals that were no longer hot.

During the inspection process, the provider had reviewed staffing levels and increased the number of staff deployed.

All staff had received training to recognise signs of abuse or risk and understood what to do to support people safely. "One person said, "Very safe here, staff very vigilant." Another said, "The staff make sure we are all safe." Risk of harm to people had been reviewed and risk mitigated as good practice guidelines for the management of medicines, pressure care management, and nutrition had been followed. 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.

Infection control audits and cleaning schedules were in place, and the premises were clean and hygienic. The provider ensured that when things went wrong, accidents were recorded, and lessons were learned.

The home now had an effective management team which provided good leadership for staff and communicated effectively with people, relatives, and professionals. Staff were positive about their roles and felt valued for the work they did. People told us, "The staff are very kind and respectful," and "They are all nice, I know the manager and can talk to her if I have a problem."

The views of people who lived at the home, their relatives and staff were encouraged and acted upon by the management team. People told us, "Staff are very kind, they look after me very well," and "I think the staff

are lovely." Relatives said, "I have total faith my (relative) is safe. Things have improved and the staff are polite and thoughtful,"

People and their relatives felt able to raise any concerns they had and were confident these would receive an appropriate response. One visitor said, "Very much improved, I feel listened to now."