231 Stafford Road

All permanent care staff posts had been filled, with no agency staff rostered. Inspectors found enough trained and supervised staff to meet people's needs.

“At this inspection we found there were enough trained and supervised staff available to meet people's needs safely and effectively.” from the report

People had up-to-date, personalised plans showing what they could do independently and what support they needed.

“People's support plans were personalised and noted what people could do for themselves and what they required support with.” from the report

Staff were trained to give medicines, records were completed and medicines were stored securely. Managers and healthcare professionals audited medicines.

“Staff completed medicines administration records (MAR) appropriately to confirm people had receive the right medicines at the right times.” from the report

People helped plan their activities and took part in meetings about their care, food and activities.

“People contributed to their weekly activity plans. These plans listed people's care and support needs throughout the week.” from the report

There was no registered manager when inspectors visited. A relative said frequent changes in managers affected continuity.

“Managers are coming and going, which doesn't help the service There is no continuity.” from the report

The deputy manager was supported by managers from other services and the area manager. The report says the management improvements were not yet fully established.

“The service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.” from the report

Quality checks had improved, but inspectors said they needed to be embedded and sustained over time.

“Quality assurance processes had improved to enable monitoring, and drive improvements at the service. These need to be embedded and sustained.” from the report