This inspection took place on the 18 and 25 January 2017 and was unannounced.

Caradoc House Residential Care Home is registered to provide accommodation and personal care for up to 11 people. At this inspection 11 people were living there.

A registered manager in post who was present during day one of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were safe as staff had been trained and understood how to support people in a way that protected them from danger, harm and abuse. People had individual assessments of risks of harm and staff followed safe practice when assisting people. Any incidents or accidents were monitored by the registered manager and deputy manager to minimise reoccurrence.

There were enough staff to support people and to meet their needs. The provider had systems in place to adapt to the changing needs of people and to make provision for additional staffing when required. The provider undertook checks on staff to ensure they were safe to work with people before they started their employment.

People received support with their medicines from staff who were assessed as competent and followed safe practice with medicines. The provider undertook checks to ensure staff followed safe procedures when administering medicines. The registered manager had systems in place to learn from incidents resulting from any errors and to take action to prevent reoccurrence.

People were supported by staff members who had the skills and knowledge to meet their needs. Staff members attended training that was relevant to the people they supported. Staff received support from the registered manager and deputy manager who promoted an open and transparent culture.

People were involved in decisions about their day to day care. When people were not able to make decisions for themselves they were supported by staff and advocates who understood and took steps to ensure their rights were upheld.

People received care and support which was personalised to them and reflected their personal preferences. People’s care and support was adapted with people’s changing preferences and needs. People took part in activities they liked and found interesting and fun.

People were supported by staff who knew them well and had good relationships with them. People were involved in their own care and information was given to them in a way they could understand.

People had their privacy and dignity respected by staff who also encouraged them to do as much as they could to maintain independence. Staff understood how to keep information confidential and shared information only when needed and with the individuals permission.

People had a choice of food to eat and were prompted to maintain a healthy balanced diet. People’s routine health needs were looked after and people had access to healthcare when they needed it.

People and staff felt able to express their views and felt their opinions mattered. People were involved in the day to day running of their home and were involved in any changes.