Cassandra House

Inspectors saw compassionate interactions. People and relatives said staff treated people with dignity and respect.

“We observed kind and caring interactions between people and staff during the inspection.” from the report

People told inspectors they felt safe. Staff understood how to recognise and report abuse, and safeguarding arrangements were in place.

“People told us they felt safe at the service.” from the report

Recruitment checks had been completed, and inspectors found staffing levels matched people's assessed needs.

“Staffing levels were sufficient to meet the needs of people living at the service.” from the report

The home was described as welcoming and supportive. Staff understood the home's values and people were involved in their care.

“The home was welcoming, and the atmosphere was warm and supportive.” from the report

The home worked with health and social care professionals, including GPs and therapists, to support people's health and wellbeing.

“The provider worked closely with several community health and social care professionals to ensure people maintained their health and wellbeing.” from the report

Records about medicine preferences, prescribed patches, refrigerated medicines and thickeners were incomplete. Documentation for one person's covert medicines was not in place.

“Medicine practices were not always in line with best practice guidelines.” from the report

Risk assessments and care plans did not always reflect people's current needs or give enough detail about the care provided.

“Care plans were not always fully complete or lacked relevant details about people's care needs.” from the report

The home recorded incidents and accidents, but did not consistently analyse them for patterns, trends or lessons that could prevent them happening again.

“There was minimal evidence to support the monitoring and analysing of accidents, incidents or falls.” from the report

Audits did not always identify problems found by inspectors, and improvement actions were not always followed up and signed off.

“Where improvements to the service had been identified through quality auditing, action was not always taken in a timely way.” from the report

Some parts of the home needed refurbishment to allow more effective cleaning.

“Some areas of the care home required refurbishment to enable more effective cleaning.” from the report