Green Heys & Kemp Lodge Care Home

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. This was because people had bedrails in place without the appropriate assessments and some people's ability to make choices were not always clearly assessed.

Quality assurance procedures were in place, and audits took place in a range of areas. However, there were gaps in the quality assurance process as the issues we identified during our inspection were not picked up.

We have made a recommendation with regards to staff engagement and support. This is because most of the staff we spoke with told us they felt unsupported in their roles and this impacted the care they gave. Supervisions took place, however more than three members of staff told us they felt the management in the home did not always address issues and staff morale was low. We highlighted this feedback to the registered manager and provider and were assured action would be taken immediately following our inspection.

Medication was well managed, and for people requiring medication as and when required (PRN) there were clear protocols in place for staff to follow. People's clinical needs in relation to wound care and pressure area care were well recorded. Staff were recruited safely. We received some mixed feedback regarding staffing levels which we shared with the registered provider.

The home was clean and well maintained. Infection control arrangements were in place to prevent and mitigate the risk of COVID-19. Appropriate protective and personal equipment (PPE) was in place and care staff used this appropriately. The environment was suitable for people living with dementia.

Staff were trained in mandatory subjects relating to their role and had had an induction. We received mixed feedback regarding the food and menu choice at the home. However, the registered provider assured us

following our inspection this was in the process of being changed following consultation with people.

Relatives told us they felt the staff were kind and caring, some comments included; "Staff seem very nice" and "I think the staff are quite nice". We observed staff knocking on people's doors and speaking to people with respect and curtesy during our inspection.

The registered manger understood their role and had sent all required notifications CQC in line with regulatory requirements.