Eastleigh Care Homes - Minehead Limited

At the time of our inspection there were 64 people using the service.

People's medicines were generally managed safely, and they received them in the way prescribed for them. However, there were some medicines supply problems, which the managers were working with the supplying pharmacy and the GP surgery to improve.

People had their needs assessed before they moved to the home. We found that these assessments needed to be more comprehensive and have recommended that the provider reviews their preadmission process.

The dining experience and environment for people living with dementia would benefit from improvement to promote dignity and independence. The provider had already identified some of these issues and was taking action to address them.

People did not always have their specialist needs met because professionals and the staff at the home had not worked in partnership to support people.

Due to the large variety of needs and ages of people at the home some people felt their social needs were not always met. The provider told us they had employed an additional worker to help support people with meaningful occupation.

People were supported by adequate numbers of staff who had been safely recruited.

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.

Staff understood the principles of the mental capacity act and made decisions in people's best interests where needed.

The provider had effective systems in place to identify shortfalls in the service and plan improvements. The providers own monitoring had highlighted areas for improvement, and they were working towards making changes to improve care provided to people.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. At the time of the inspection the home was providing care to a small number of people with a learning disability.

Right support People lived in a large nursing home which did not specialise in the care of people with a learning disability. One person had one to one staffing at times to support them to pursue their interests and hobbies.

However, another person who was staying for a respite period had a lack of support to take part in activities which were appropriate to their needs.

There were limited opportunities for people to access their local community for leisure or education.

People's physical healthcare needs were monitored by trained nurses and senior staff.

Right Care People received kind and compassionate care from a friendly staff team.

People had not all had opportunities to discuss their aspirations and set goals.

Right Culture People were supported by a manager and provider who worked hard to promote a culture where people were valued and respected as individuals.

The manager and provider were open and transparent and took action to make sure people were protected from avoidable harm.