This inspection was unannounced and took place on 24 and 25 July 2017.

At the last inspection in April 2015, the service was rated Good. At this inspection we found the service remained Good.

Bank House provides accommodation and personal care for up to 20 people. The provider offers a service for older people, some of whom are living with dementia and people diagnosed with other mental health needs. On the days of our inspection 19 people were living in the home.

The home had a registered manager who was present on the day of the inspection. The registered manager was also the registered provider. 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 felt safe living in the home and staff were aware of their responsibility of protecting them from the risk of potential abuse. Safe care practices ensured the risk of harm to people was reduced. People were supported by sufficient numbers of staff who had been recruited safely. People were supported by skilled staff to take their prescribed medicines.

Although the overall rating for this service remains as good. The effectiveness of the service requires improvement to ensure people are lawfully deprived of their liberty. Staff had access to regular training to ensure they had the skills to meet people’s needs appropriately and were supported in their role by the registered manager. People were supported to eat and drink sufficient amounts and staff were aware of people’s food preferences. People had access to relevant healthcare services when needed.

People were cared for and supported by staff who were caring and attentive to their needs. People were encouraged to be involved in planning their care and could be confident their right to privacy and dignity would be respected by staff.

People’s involvement in their care assessment ensured they received a service that reflected their preference. People were able to pursue their interests and had access to a variety of social activities. People felt confident to share their concerns with the registered manager and could be assured this would be listened to and acted on.

People were encouraged to have a say in how the home was run. People were aware of the management structure and told us the registered manager was approachable. Staff felt supported by the management team to carry out their role. The registered manager had systems in place to monitor the quality of service provided to people.

This inspection took place 21 April 2015 and was unannounced. The last inspection was carried out 4 July 2014. The provider was compliant with all regulations we inspected.

Bank House is registered to provide accommodation with nursing and personal care for a maximum of 20 people. On the day of our inspection 20 people were living at the home.

The home had a registered manager in post who was present for the inspection. 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 told us they felt safe living at home. Staff knew how to protect people and report incidents of concern. People's medicines were managed safely and staff followed the provider’s guidance in administration, storage and disposal of people's medicines.

People were supported by sufficient staff numbers and by staff who received appropriate training support and supervision. There was a recruitment procedure in place which was followed. This ensured staff were appropriately checked before they started work at the home. The registered manager and staff were familiar with their role in relation to protecting people’s human rights and to follow published guidance where people do not have the capacity to make their own decisions.

Health care professionals were accessed for people when they needed them. People were supported to maintain independence and control over their lives by staff who treated them with dignity and respect. The registered provider had a complaints policy which was available to everyone. There had been no complaints since the last inspection.

A menu was produced which provided a range of choices. The home catered for special diets to ensure people’s individual dietary needs were catered for. A variety of social activities were available for people to choose from and people were encouraged to maintain contact with their family and friends.

Systems were in place to regularly audit the quality of the service and the registered manager acted where audits identified improvements were required.