Melbreck

This inspection report for Melbreck details the findings of a Care Quality Commission (CQC) review. The report assesses the home's performance across five key areas: safety, effectiveness of care, how caring the staff are, responsiveness to needs, and overall leadership. It aims to provide families with a clear understanding of the service's strengths and areas where improvements are being made, building upon previous inspection outcomes.

Regarding safety, while significant improvements have been made to address previous concerns, there are ongoing recommendations for how healthcare matters are recorded to ensure complete monitoring and clear communication, especially given the reliance on agency nurses. Robust recruitment practices and contingency plans are in place, and the environment is safe and suited to residents' needs, though improvements in record organisation are noted.

In terms of how effective the care is, the service has shown strong progress. People receive appropriate healthcare support, with referrals made to specialists and detailed health action plans in place. Staff are well-trained and supported, with a new registered manager who is a nurse providing valuable clinical supervision. The environment is well-adapted to meet residents' needs, and care plans are person-centred.

The service is noted as being caring, with staff treating residents with kindness, dignity, and respect. People and their relatives are involved in care planning, and staff understand individual preferences and communication styles. A variety of activities are offered, with a focus on community involvement, and there is a positive culture where staff and residents' feedback is valued.

In terms of responsiveness, the home actively supports residents in making choices and controlling their lives, using least restrictive methods. Staff are knowledgeable about dietary needs, and residents are supported to access healthcare professionals. The service works to ensure that residents' changing needs are met effectively and promptly.

Concerning how well-led the service is, there is a developing positive culture where staff share values and aim to provide a good experience for residents. Feedback from residents, relatives, and staff is actively sought and considered. However, the report highlights a need for continued focus on robust record-keeping and addressing the impact of agency staff on care continuity, with ongoing monitoring to ensure sustained improvements.