Darnall View is a care home that provides residential care to a maximum of 24 older people. At this inspection Darnall View were providing services for 21 people some of whom were living with dementia. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This inspection took place on 9 October 2018 and was unannounced. This meant the staff working at the home and the people living at the home did not know we were visiting.

There was a registered manager at the service. 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.

At the last inspection, the service was rated Good. At this inspection, we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Good.

People who lived at Darnall View told us they felt safe and staff provided them with the support they needed.

Staff were aware of their responsibilities in keeping people safe.

Medicines were managed safely at the service.

There were robust recruitment procedures in place so people were cared for by suitably qualified staff who had been assessed as safe to work with people.

Individual risk assessments were completed for people so that identifiable risks were managed effectively.

Staff underwent an induction and shadowing period prior to commencing work, and had regular updates to their training to ensure they had the skills and knowledge to carry out their roles.

Staff were well supported and received supervisions and appraisals regularly.

People receiving support felt staff had the right skills to do their job. They said staff were respectful and caring in their approach.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Care plans were detailed and person centred. Care plans were reviewed regularly and changed to reflect current needs.

People were treated with dignity and respect, and their privacy was protected.

People’s nutritional needs were monitored and actions taken where required.

People and relatives spoken with were confident in reporting concerns to the registered manager and staff, and felt they would be listened to.

We saw the service promoted people’s wellbeing by taking account of their needs including activities within the service and in the community.

The service has a quality assurance system, and records showed that identified problems and opportunities to change things for the better were addressed promptly.

The feedback we received showed the service was consistently well managed and well led.

The leadership and culture of the service promoted the delivery of high quality person centred care.

Further information is in the detailed findings below.

This inspection took place on 21 March 2016 and was unannounced.

Darnall View is a care home that provides residential care to a maximum of 24 older people. At this inspection Darnall View were providing services for 24 people some of whom were living with dementia.

At this inspection there was a registered manager in post. 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 supported by enough staff to ensure they could meet their needs in a way they wanted. Staff knew how to protect people from the risk of harm or potential abuse.

Staff had received training and knew what to do if they suspected abuse.

Staff were supported by the management team and received training to help them perform their role. Staff took part in daily meetings to ensure they were aware of any day to day issues.

Systems were in place to ensure people received their medicines as prescribed.

People were cared for by staff who were kind and compassionate. Staff had good relationships with the people they supported. People felt listened to and respected. People were encouraged to make their own choices and decisions about their care and support. People felt in control of their care and staff made sure information was given in a way people understood. People had access to health care in order to maintain well-being. People, relatives and staff felt their views and opinions were listened to and respected by the management team. People and relatives knew how to make a complaint if they needed to and were provided with information about the home and provider.

People were supported to maintain relationships with their families and friends if they desired to. Staff encouraged people to maintain their independence and people were involved in activities which they found enjoyable and stimulating. People had a choice of what to eat and enjoyed the food offered. Staff knew the personal likes and dislikes of people and helped promote their wishes.

People knew who the management team were. The provider completed regular quality checks to ensure that good standards of care were maintained. People’s feedback was sought on a regular basis and any areas or improvements identified were acted upon.

During our visit we spoke with three people using the service, two relatives, six members of staff and the manager. We looked at three sets of care planning documentation and two staff files.

All of the people using the service and their relatives that we spoke with were positive about the home. Some comments included “I like it here. The staff are nice. The food is alright.” People told us that they were treated with respect and their dignity was maintained.

People using the service and their relatives told us that care and treatment was planned and delivered in a way that ensured safety and welfare. Some comments from a relative included “The staff are very caring. She is well looked after there.”

All the people and relatives we spoke with said they had no concerns about abuse in the home. One relative told us “It’s a safe environment. People are kept safe and well looked after.”

We found that staff were supported in their roles and received appropriate induction, training, supervision and appraisal. People living at the home told us that they liked the staff and they were caring. Some comments from relatives included “The staff are great. The night staff are wonderful too.”

We found there were effective quality systems in place in order for the serive to evaluate its practice and improve. This included handing complaints, collecting and analysing feedback, dealing with incidents and accidents and undertaking audit of the home’s practices.

We spoke with four people who used the service. They were able to talk to us about their experience of living in the home. One person told us “the staff look after us.” Another person told us “I like living here.”

We spoke with three members of staff and they told us that they enjoyed working at the home. One member of staff told us that they felt “people who live here are treated with respect.”

We looked at the care plans of four people who used the service. We saw that they were tailored to meet the needs of the individual. We saw that risk assessments were in place to reduce the risk of harm to the people who used the service.

We saw that there was a safeguarding policy in place. The staff we spoke with told us that they would know what to do if they had any concerns about the care and support being given.

We spoke with relatives of the people who used the service. They told us they were happy with the care and support their family member was receiving.

We looked at the menus and saw that people were offered a choice of meals at mealtimes. The cook told us that if people didn’t like anything on the menu, they would prepare something else for them. The people we spoke with all told us that they enjoyed the food and felt there was enough or them to eat and drink.

People that we were able to communicate with told us that they were happy living at the home and that they were always asked their opinions. They told us “It’s good here.” “The staff are good.” “It’s nice.” “Very lovely.” People said that they felt safe living at the home. We also spoke with two relatives who were visiting the home and they confirmed that they were satisfied with the care provided. They told us “We have no worries or concerns about the home.”