We carried out this visit to check that the provider had systems in place to monitor the quality of the service and ensure that actions were taken to address any shortfalls. At the time of our inspection the acting manager had left and the service was supported by managers from other homes owned by the provider. This meant that there was no registered manager who could be held accountable for the day to day service provided.

During our inspection we spoke with a supporting manager, two staff and the administrative assistant. We spoke with four people who living in the home and looked at records relating to the monitoring of the service.

All the people spoken with told us they were happy with the service provided. One person told us, "Its wonderful (living in the home)." Another person told us, "The staff are lovely." Two staff spoken with confirmed that the home received support from other managers. One member of staff told us that the home was improving "care wise and paper wise". This showed that staff and people living in the home were happy with the running of the home.

The records we looked at showed that there were systems in place to monitor the quality of the service that ensured that people received a service that was safe and where people could make suggestions to improve the service. This showed that there was a system in place that took the views of people into account.

A pharmacist inspector from the Care Quality Commission visited the home. This was in order to look at medicine management. There were 25 people living in the home. We looked at the medicine administration records for seven people and how the service managed medicines.

At our previous inspection on 5 July 2013 we had found that appropriate arrangements were not being undertaken in order to manage the risks associated with the unsafe use and management of medicines. We had issued the service with a warning notice.

At this inspection we found that appropriate arrangements were being undertaken in order to manage the risks associated with the unsafe use and management of medicines. The warning notice had been met.

At the time of our visit there were 29 people living at the home. We spoke to five people, four staff, the manager and the quality manager.

We saw that the interactions between staff and people were polite, caring and helpful. People living in the home and a relative told us they were happy with the care and that staff were very caring. This meant people were happy with the care provided by staff.

People were treated with dignity and respect and their choices and independence promoted by staff.

People were dressed in individual styles and attention had been given to their personal care. Staff were knowledgeable about people’s care and health needs and people were supported to have their health needs met by a variety of healthcare professionals.

The systems for managing medicines were not robust and this meant that people did not always get their medicines as prescribed.

Staff told us they liked working in the home and felt supported. People’s needs were met because there were sufficient staff on duty with the skills and knowledge to keep people safe.

The provider ensured that there was adequate monitoring of the service to ensure that people received a good service that met people’s needs however the system did not always ensure that adequate actions were taken to address identified shortfalls.

At the time of our visit there were 27 people living at the home. We spoke to ten people, four staff and the quality manager.

People were treated with dignity and respect. People were dressed in individual styles and attention had been given to their personal care. Staff were knowledgeable about people’s needs and people’s health care needs were met.

One person told us, “I am happy here; don’t want to go out, like just sitting here”.

Staff received training and were supervised so that they could meet people’s needs safely. Staff told us they liked working in the home.

Staff spoken with knew how to protect the people living there from being abused and that they would report any abuse to ensure that people were safeguarded from harm. All the people we spoke with told us they felt safe in the home.

The home was being refurbished to ensure that it was comfortable for people to live in. One person said,” My bedroom is comfortable”.

The provider ensured that there was adequate monitoring of the service to ensure that people received a good service that met people’s needs.