Old Sarum Manor

Accommodation was provided over three floors accessed by stairs and a lift. People had their own rooms with en-suite facilities. There were also communal areas on each floor, including a cinema, café, hair salon, lounges and dining areas. People could access a secure garden from the ground floor.

Due to the shortfall in incident management there was an impact on duty of candour response letters. The provider took action to review this during the inspection and update responses sent to relevant people. The provider's quality systems had not identified some of the incidents we found. We have made a recommendation about this.

Medicines had been managed safely. We did find some 'as required' protocols not in place. This had been identified by the provider prior to our inspection, action was being taken to put them in place. Staff had medicines training and checks on their competence regularly.

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.

The service was clean, and schedules were in place to make sure all areas of the home were checked. People and relatives told us they were very happy with the standards of cleanliness seen throughout the home. People had regular visits from friends and family, there were no visiting restrictions.

Staff wore personal protective equipment appropriately and had received training on good infection prevention and control procedures. Staff had been recruited safely and there were enough staff to meet people's needs. People and relatives told us people felt safe at the service and they all appreciated the caring approach of the staff.

There was not a registered manager in post, however, an interim manager had applied to be registered prior to our inspection. People, relatives and staff told us the management of the service was inclusive, responsive and that management were approachable and visible. Systems were in place to give people and relatives opportunities to share their views and there were regular 'residents meetings'.

Staff also had opportunities to meet regularly with management and they all told us they felt listened to and valued.