James Page

Care plans and risk assessments were detailed and regularly reviewed. They gave staff the information needed to manage people's risks.

“People had detailed, personalised risk assessments which were regularly reviewed and gave staff enough detail to manage risk associated with people's care.” from the report

Inspectors saw staff offering choices and speaking respectfully. People and relatives gave positive feedback about the care.

“People were offered choice and spoken to in a caring and respectful manner.” from the report

Recruitment checks had been completed and staffing levels were considered safe. Regular agency workers were used to provide consistency.

“Staffing levels were safe. Agency staff were sometimes used, however regular individuals were employed from the agency to ensure consistency.” from the report

The manager was available during the inspection and acted promptly when inspectors raised concerns. Quality checks were changed and developed in response.

“The registered manager was on hand throughout the inspection and was responsive to issues we raised.” from the report

Nurses did not always record where transdermal patches were applied. The home also needed clearer guidance for some medicines given only when needed.

“People received their medicines as prescribed, however, nurses did not always record the exact application site of transdermal patches.” from the report

Guidance was missing for one newly admitted person and did not include all the steps staff should try before offering some medicines.

“Appropriate guidance had not been developed for 1 newly admitted person who had medicines prescribed on an 'as required basis'.” from the report

Some air flow mattresses were not correctly calibrated to people's weights. The home addressed the shortfall and reviewed its monitoring system.

“However, not all were accurately calibrated to the individual's weight.” from the report

Some accident and incident records were inconsistent and lacked clarity. The manager took action after inspectors raised this.

“We identified some recording inconsistencies which meant some records lacked clarity.” from the report