The Waynes provides personal care and support for up to 30 older people who may have dementia in a care home. There were 22 people living at the service on the day of the inspection.

At our last inspection we rated the service good overall. At this inspection we found the evidence continued to support the rating of good. 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.

The inspection took place on 1 August 2018 and was unannounced.

People felt safe and staff understood their responsibilities around safeguarding adults and reporting concerns.

Risks to people’s physical and mental health had been identified and guidance was available for staff to manage those risks. The environment and equipment was safely maintained.

Staff recruitment procedures ensured background checks were made before people were offered employment and there were sufficient staff on duty to meet people’s needs.

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.

People had access to healthcare professionals in the community such as their GP or community mental health team.

Staff maintained positive relationships with people and showed care and compassion in their interactions.They consulted people about the way in which they wished to receive their care and gave them the necessary support.

There was a quality monitoring system in place which identified where improvements were needed although could be improved by adding more detail around the actions taken.

People and staff were invited to share their views and give feedback about the service

Further information can be found in the detailed findings below

The inspection took place on 14 January 2016 and was unannounced. We previously completed a responsive follow up inspection of the service on 27 February 2014 and found that the registered provider met the regulations we assessed.

The service is registered to provide accommodation for up to 30 people who require assistance with personal care. On the day of the inspection 18 people were living at the service and one person was staying on respite care. The service is situated in the seaside town of Bridlington, in the East Riding of Yorkshire. The property is detached and accommodation is offered on ground and first floor levels in single or double rooms.

The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager in post who was registered with the Care Quality Commission (CQC). 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.

During this inspection we found that the service was safe. People’s needs were assessed and risk assessments put in place to reduce the risk of avoidable harm. People were protected from the risks of harm or abuse because the registered provider had effective systems in place to manage any safeguarding concerns. Staff were trained in safeguarding adults from abuse and understood their responsibilities for protecting people from the risk of harm.

The service had an effective recruitment and induction process and provided on-going training to equip staff with the skills and knowledge needed for their roles and only people considered suitable to work with vulnerable people had been employed by the service.

Staff told us that they felt well supported by the registered manager and could approach them if needed. They told us that they received formal supervision but could also approach the registered manager with any concerns at any time.

Staff had received training on the administration of medicines and we saw there were safe systems in place to manage and handle medicines.

The registered manager was able to show they had an understanding of Deprivation of Liberty Safeguards (DoLS).

People were supported to eat and drink enough and, where necessary, supported to access healthcare services.

People told us that staff were caring and that their privacy and dignity was respected. We observed people were cared for by staff with a positive and responsive manner.

We saw that there were systems in place to assess and record people’s needs so that staff could provide personalised care and support. People told us they felt able to make comments or raise concerns and there were systems in place to seek feedback from people who received a service and feedback had been analysed to identify any improvements that needed to be made.

The registered manager monitored the quality of the service, supported the staff team and ensured that people who used the service were able to make suggestions and had systems in place to ensure these were responded to.

We undertook this visit to review previous areas of non-compliance in relation to medication and quality assurance in the home. We found that the provider had taken action to improve these systems.

People who lived in the home told us they were happy with the support they received with their medication. Comments included “I have no problems with medication, they come round and ask” and “I don’t take many tablets, but I get the ones I do and yes I get my creams.”

There were systems in place to ensure the safe receipt, storage, handling and disposal of medication in the home. Records were up to date and staff had received refresher training to help ensure the correct practices were followed.

We also saw that quality assurance systems had been improved upon and the majority of records were up to date. There were systems in place for gaining the views of people who lived in the home and for information sharing.

Risk assessments and polices were in place and the majority had been reviewed and were up to date. Systems were also in place for the maintenance of the home; sampled safety certificates were also up to date.

People who lived in the home told us that they were happy living there, with the support they received and with the food provided.

We saw that people were supported through a care planning process to have their needs met. Systems were also in place to meet peoples nutritional and medication needs. However some improvements were required regarding assessments to ensure up to date information was available to make sure that this remained the case.

Additionally medication practices did not meet with the guidelines from the Royal Pharmaceutical Society.(RPHARMS)

We saw that the home was on the whole clean and tidy and that people could personalise their rooms. However there was no evidence that the electrical systems in the home were safe.

There were quality assurance systems in the home but health and safety risk assessments were not all up to date.

People told us that they were happy in the home and that staff were polite. People said that they felt safe in the home and that staff quickly answered their request for assistance. Some people felt that there was not a lot to do in the home.

People told us that they were happy in the home, that they were kept up to date and involved in their care. They told us that the staff were nice and that there was a 'lovely atmosphere' in the home.