The inspection took place on 13 September 2018 and was unannounced. Wallfield House is a care home that provides accommodation with personal care and is registered to accommodate 15 people. The service provides support to older people who may be living with dementia. The accommodation at Wallfield House is on the ground and first floor and there is a lounge and a dining room for people. The home is in the village of Findern and has a car park for visitors to use. Public facilities and transport services are within easy reach of the home. This was the first inspection of this service under the new provider.

Wallfield House is a ‘care home’. 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. At the time of the inspection there were 14 people using 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 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 to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Improvements were needed to ensure applications to restrict people liberty were completed. People could make choices about how they wanted their care delivered and how to spend their time. People were provided with a good choice of food and maintain a healthy diet. People’s day to day health needs were met in a timely way. The home was warm and welcoming and the environment was suitable to meet people’s needs. Staff received training and support to be enable them to care for people well.

People felt safe living at Wallfield House and staff were knowledgeable about how to safeguard people from avoidable harm. Potential risks to people's health and well-being had been assessed to help keep people safe. There were enough staff available to meet people’s needs in a timely manner. Safe and effective recruitment practices were followed to help make sure that all staff were of good character and suitable for the roles they performed. There were suitable arrangements for the safe storage, management and disposal of medicines and people were supported to take their medicines by trained staff. There were systems in place to help promote infection control and lessons were learnt from when mistakes happened.

People were happy with the staff that provided the care who respected and promoted their dignity and privacy. The staff supported people in the way they wished whilst encouraging them to remain as independent as possible. Information was available about the home and had been designed to enable people to understand any information. Relatives and friends were encouraged to visit at any time.

Staff were knowledgeable about people's preferred routines, likes and dislikes and personal history. The staff used this to provide personalised care and support that met their individual needs. The service was managed in a way that responded to people’s changing needs. There were opportunities for people to get involved in activities and pursue their interests. Concerns and complaints raised by people were responded to and resolved.

People knew the registered manager by name and felt the management team was approachable and could talk with them at any time. There was a range of checks undertaken routinely to help ensure that the service was safe. People and their relatives were able to share their opinions about the service and facilities provided. Satisfaction surveys had been distributed to gather feedback about how the service performed. The registered manager and staff worked with other professionals to continu