St Luke's Care Home

The majority of personal risks to people's safety were well managed. We highlighted an area in one person's care plan which needed further information to support the person.

The management of medicines had improved but there were still further improvements required, such as ensuring medicines were dated when opened. Some as required medicines lacked a reason for their administration on their medicines administration record (MAR). The manager was receptive to our feedback on these issues and addressed the concerns straight away. Quality monitoring processes at the service had improved but aspects of these processes needed further refining. This included the issues we found with medicines and monitoring of personal care. The provider and manager was receptive to our feedback and assured us they had plans to further improve their auditing processes. Assessments of people's needs had been undertaken using nationally recognised assessment tools, and measures to reduce risks had been put in place using these risk assessments.

People told us they felt safe at the service. The management team worked with the provider to ensure all safeguarding concerns were dealt with appropriately. There were processes in place to enable learning from events. People were supported by adequate numbers of staff who had been recruited safely and received appropriate training for their roles. People lived in a clean environment and although there were areas which needed to be refurbished the provider was aware of this and had a plan in place to prioritise the works required.

People's nutritional needs were well managed, they enjoyed the food served to them. They were given choice and supported with their meals by a staff group who showed good knowledge of their nutritional needs.

Peoples' health needs were well managed and there were good working relationships with external health professionals to provide good outcomes for people.

People were supported by a staff group who treated them with respect and maintained their dignity. They

were supported to be involved with their care, which was provided in a person-centred way. Staff had good knowledge of people's needs and used their care records to ensure people's current needs were met.

People were supported to maintain relationships with their families and there were various leisure and event opportunities planned to reduce people's feelings of boredom or isolation.

The service had systems to manage complaints and concerns from people or their relatives and people told us they felt listened to.

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.