Adalah Residential Rest Home provides accommodation and personal care without nursing for up to 30 persons who may be living with dementia. At the time of our inspection there was 27 people living at the service.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good in most areas apart from Well Led as the service had not met the condition for having a registered manager at the time of our inspection.

The service was safe. The service’s recruitment process ensured that appropriate checks were carried out before staff commenced employment. There were sufficient staff on duty to meet the needs of people and keep them safe from potential harm or abuse. People’s health and wellbeing needs were assessed and reviewed to minimise risk to health. The service needed to improve management and record keeping of administered medication.

The service was effective. People were cared for and supported by staff who had received training to support people to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to health and social care services was made when required.

The service was caring. Staff cared for people in a empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.

The service was responsive. People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The service responded to complaints received in a timely manner.

The service was not well-led. This was due to the service not meeting the Registered manager’s condition as set out in the Health and Social Care Act 2008 as part of our regulatory function. However staff, people and their relatives spoke very highly of the new manager and how they informed to be very supportive and worked hard to provide an exceptional service since coming into the service. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis. The new manager informed that current systems and processes where being updated and improved.

We found that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. The care and treatment received by people was planned and delivered in a way that was intended to ensure people's safety and welfare. The provider worked well in co-operation with others. This was confirmed by visiting healthcare professionals spoken with during the inspection who thought the standard of care provided at the service was good.

We looked at whether people were protected from unsafe or unsuitable equipment. We found that the chair lifts, passenger lift and bathing facilities had been well maintained through regular inspections. Comments and complaints people made were responded to appropriately.

People we spoke to told us they were happy with the care and support provided. They really appreciated the activities worker commenting that, “she does so much” and, "gets the old brain working again."

People who use the service, family members and visitors we spoke with were positive about the care provision at Adalah residential home. They told us that people experienced care, treatment and support that met their needs and protected their rights.

Two people who use the service and three out of five visitors did say that more external activities would be good and whilst there were activities in house, more entertainment would be appreciated.

People told us that they were satisfied with the care and support provided to them at Adalah and that they felt their privacy and dignity was respected. They also told us that they enjoyed the social activities that were available but that they found these limited at times.

People said that they felt safe living at Adalah and that they would be able to tell somebody if they had any worries or concerns. They told us that they trusted staff and found them helpful, obliging and caring.

People told us they were satisfied with the quality of the service provided to them at Adalah and that they would feel able to raise any concerns with the manager.

The Inspection took place on the 27 and 28 May 2015.

Adalah Residential Rest Home provides accommodation and personal care without nursing for up to 30 persons who may be living with dementia. At the time of our inspection 24 people were living at 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.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.

People were safeguarded from the potential of harm and their freedoms protected. Staff were provided with training in Safeguarding Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The manager was up-to-date with recent changes to the law regarding DoLS and knew how to make a referral if required.

People had sufficient amounts to eat and drink to ensure that their dietary and nutrition needs were met. The service worked well with other professionals to ensure that people's health needs were met. People's care records showed that, where appropriate, support and guidance was sought from health care professionals, including a doctor, district nurse and mental health professionals.

Staff were attentive to people's needs. Staff were able to demonstrate that they knew people well. Staff treated people with dignity and respect.

People were provided with the opportunity to participate in activities which interested them. These activities were diverse to meet people’s social needs. People knew how to make a complaint; complaints had been resolved efficiently and quickly.

The service had a number of ways of gathering people’s views including talking with people, staff, and relatives. The manager carried out a number of quality monitoring audits to help ensure the service was running effectively and to make improvements.