This inspection took place on 21 August 2017. Bassingham Care Centre is registered to provide accommodation and personal care for up to 60 young and older adults who have needs associated with dementia and a broad range of medical conditions. On the day of our inspection there were 51 people were using the service. Twenty of these people lived in the bungalow complex on the site and 31 lived in the main house.

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

People continued to feel safe and staff ensured that risks to their health and safety were reduced. There were sufficient staff to meet people’s needs in a timely manner and systems were in place to support people to take their medicines.

Staff received relevant training and felt well supported. People were asked for their consent and appropriate steps were taken to support people who lacked capacity to make particular decisions. People were supported to eat and drink enough to maintain good health.

There were positive and caring relationships between people and the staff who cared for them. Staff promoted people’s right to make their own decisions and respected the choices they made. People were treated with dignity and respect by staff who understood the importance of this.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Care plans were in place which provided clear information about the care people required. People knew how to make a complaint and there was a clear complaints procedure in place.

There was an open and transparent culture which enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff. There were robust quality monitoring procedures in place.

Further information is in the detailed findings below.

We inspected Bassingham Care Centre on 27 May 2015. The inspection was unannounced. We last inspected the service on 7 January 2014.

Bassingham Care Centre provides care for up to 60 older people, some of whom may experience needs related to memory loss associated with conditions such as dementia. There were 44 people living in the service at the time of the inspection.

The service did not have a registered manager in place at the time of our 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. However, there was an acting manager in post who had undertaken an application to register with us. The application was fully supported by the registered provider. We found the acting manager had developed a positive and open culture within the service

CQC is required by law to monitor the operation of the Mental Capacity Act, 2005 Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves. At the time of the inspection three people who used the service had their freedom restricted in order to keep them safe and the provider had acted in accordance with the Mental Capacity Act, 2005 DoLS.

People were care for safely and they were treated with dignity and respect. They were able to access appropriate healthcare services and nutritional planning took account of their needs and preferences. Their medicines were managed safely.

People were involved in planning the care and support they received and staff respected their views about the way they wanted their care delivered. They were also supported to enjoy activities and interests of their choice.

People could voice their views and opinions to the acting manager and staff and felt able to raise concerns or complaints if they needed to. The registered provider the acting manager and staff listened to what people had to say and took action to resolve any issues.

Staff were appropriately recruited to ensure they were suitable to work with vulnerable people. They received training and support to deliver a good quality of care for people. They understood how to identify report and manage any concerns for people’s safety and welfare. They delivered the care that was planned to meet people’s needs and took account of their choices, decisions and preferences. They delivered the care in a patient, warm and friendly manner. The registered provider maintained systems to regularly assess, monitor and improve the quality of the services provided for people.

At the time of our inspection 39 people were living at the home. Occupancy was lower than maximum due to refurbishment taking place.We spoke to five people who use the service and three relatives. One person said, “They look after us to the best of their ability.”

We saw that people had options to choose from at lunchtime and people told us there was always a good choice of meals. We saw a sample of individual rooms and found that they were clean and furnished to individual preferences.

One person told us that staff helped them well with washing and getting dressed each morning and always carried out these tasks in the way that was agreeable to them.

We asked people if they felt safe at the home and one person told us, “They look after me well.” A regular visitor told us that people seemed safe and they had no concerns about their safety.

A refurbishment programme was in place, and most of the occupied rooms were recently refurbished, following a “dementia friendly” décor plan, with low ceilings, room doors styled like house front doors and colour coded doors such as yellow to show bathrooms.