Mercia Grange

Staff understood safeguarding and people's risks. Inspectors found that risk assessments gave staff clear instructions for keeping people safe.

“People were protected from potential abuse by staff who had regular safeguarding training and knew about the different types of abuse.” from the report

People had choices and enough food and drink during the day. Inspectors found that people enjoyed the food.

“People had choices and access to sufficient food and drink throughout the day. Food was well presented, and people we spoke with told us they enjoyed it.” from the report

Staff had completed relevant training, inductions and shadowing. Relatives told inspectors they were confident staff had the skills to meet people's needs.

“New staff had completed an induction programme which involved training and shadowing more experienced staff members.” from the report

The home had different spaces for activities, family visits and privacy. Bedrooms and dementia areas were adapted to people's preferences and needs.

“People's bedrooms were decorated and furnished to meet their personal tastes and preferences, for example having family photographs and artwork.” from the report

The systems used to monitor quality and safety were not consistent enough. Some incidents were recorded or analysed incorrectly, which delayed a safeguarding referral.

“Audits undertaken in relation to accident and incidents required improvement to ensure the appropriate action had been completed.” from the report

Some medicines records said medicines had not been given or were unavailable when they had actually been administered. Inspectors said this could lead to a missed dose or an extra dose.

“The incorrect recording on medicines documentation increases the risk people will not receive their medication or be given more than the prescribed amount.” from the report

Some records did not show that relatives or advocates had been involved in decisions for people assessed as lacking capacity. The manager said these records would be improved.

“Some people's best interest decision records did not always demonstrate people who were assessed as lacking capacity had their relatives or advocates involved in the decision-making process.” from the report