This inspection took place on 1 June 2018 and was unannounced. This was a first inspection of a newly registered service. At this inspection we rated the service as Good.

Gracelands Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service provides personal care to a maximum of 43 people, some of whom are living with a dementia and/or a physical disability. At the time of the inspection there were 32 people who used the service.

The service had a registered manager. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Policies and procedures helped to ensure people were protected from the risk of abuse and avoidable harm. Staff had received safeguarding training, and were confident they knew how to recognise and report potential abuse. Staff were recruited carefully and appropriate checks had been completed to ensure they were safe to work with people.

Systems were in place to ensure people received their prescribed medicines safely. Staff had been trained in the safe administration of medicines. We did note the room in which medicines were stored was on occasions too hot. However, the registered manager was aware of this and had obtained some quotes for air conditioning and was awaiting a date for fitting.

Risks to people's safety and health were assessed, managed and reviewed. We did note that risk assessments were generic and did not identify individual measures to keep people safe. However, the registered manager was aware of this and was to review and update all risk assessments. People and relatives told us there were sufficient numbers of staff on duty to ensure people’s needs were met.

The registered manager had systems in place for reporting, recording, and monitoring significant events, incidents and accidents. The registered manager told us that lessons were learnt when they reviewed all accidents and incidents to determine any themes or trends.

The home was clean and tidy. Communal areas were well maintained. Appropriate personal protective equipment and hand washing facilities were available. Staff had completed infection control training.

People were supported by a regular team of staff who were knowledgeable about people’s likes, dislikes and preferences. A training plan was in place and staff were suitably trained and received all the support they needed to perform their roles.

People were supported to have a good diet which met their needs and preferences. People told us they liked the food that was provided. People were supported to access health professionals to maintain their health and wellbeing.

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.

Staff understood people's different ways of communicating and how to make people feel valued. The home had a strong and person-centred culture. We received feedback from people, relatives and professionals which was very positive about the quality of life that people experienced. People told us the staff were kind and caring and treated them with dignity and respect. The service recognised the importance for people of maintaining close family relationships and provided the support required to make this happen.

People's care needs were met in a way they liked. Individual care plans included the appropriate information to help ensure care was provided in a person centred and safe way. Where people were suppor