The Hall Residential Home is registered to provide accommodation and care to a maximum of 47 older people or people who may be living with dementia. The Hall Residential Home is situated in the village of Thornton Le Dale, close to village amenities. It is a large Grade II listed building with it's own grounds. The service provides residential support to people, and all bedrooms have en-suite bathrooms. There is on-site car parking for visitors and staff and disabled access into the building. There were 40 people who used the service at the time of this inspection, 23 people were living with dementia.

At the last inspection in October 2014, the service was rated ‘Good’. At this inspection, we found the service remained ‘Good’.

People told us they felt safe and were well cared for. The registered provider followed robust recruitment checks, to employ suitable staff, and there continued to be sufficient staff employed to assist people in a timely way. People’s medicines were managed safely.

Staff had continued to receive appropriate training to give them the knowledge and skills they required to carry out their roles. This included training on the administration of medicines and on how to protect people from the risk of harm. Staff received regular supervision to support them to fulfil their roles effectively, and had yearly appraisals to monitor their work performance.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People said they enjoyed good food. People's health needs were identified and staff worked with other professionals, to ensure these needs were met.

Staff were kind, caring, compassionate and patient. They respected people’s privacy and dignity and encouraged them to be as independent as possible. Health and social care professionals spoke positively about the quality of care provided.

Staff were knowledgeable about people’s individual care needs and care plans were person-centred and detailed. There was a range of social activities offered including meals to celebrate special events and festive holidays. Spiritual needs were met through in-house services and one-to-one pastoral care when requested.

People told us the service was well managed and organised. The registered manager assessed and monitored the quality of care provided to people. People and staff were asked for their views and their suggestions were used to continuously improve the service.

The service met all relevant fundamental standards we inspect against.

Further information is in the detailed findings below.

The Hall Residential Home is registered to provide accommodation and care to a maximum of 47 older people or people who may be living with dementia. The Hall Residential Home is situated in the village of Thornton Le Dale, close to village amenities. It is a large Grade II listed building with it's own grounds. The service provides residential support to people, and all bedrooms have en-suite bathrooms. There is on-site car parking for visitors and staff and disabled access into the building. There were 40 people who used the service at the time of this inspection, 23 people were living with dementia.

At the last inspection in October 2014, the service was rated ‘Good’. At this inspection, we found the service remained ‘Good’.

People told us they felt safe and were well cared for. The registered provider followed robust recruitment checks, to employ suitable staff, and there continued to be sufficient staff employed to assist people in a timely way. People’s medicines were managed safely.

Staff had continued to receive appropriate training to give them the knowledge and skills they required to carry out their roles. This included training on the administration of medicines and on how to protect people from the risk of harm. Staff received regular supervision to support them to fulfil their roles effectively, and had yearly appraisals to monitor their work performance.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People said they enjoyed good food. People's health needs were identified and staff worked with other professionals, to ensure these needs were met.

Staff were kind, caring, compassionate and patient. They respected people’s privacy and dignity and encouraged them to be as independent as possible. Health and social care professionals spoke positively about the quality of care provided.

Staff were knowledgeable about people’s individual care needs and care plans were person-centred and detailed. There was a range of social activities offered including meals to celebrate special events and festive holidays. Spiritual needs were met through in-house services and one-to-one pastoral care when requested.

People told us the service was well managed and organised. The registered manager assessed and monitored the quality of care provided to people. People and staff were asked for their views and their suggestions were used to continuously improve the service.

The service met all relevant fundamental standards we inspect against.

Further information is in the detailed findings below.

We carried out an inspection on the 23rd of April at The Hall following a compliance action from the previous inspection regarding involvement of people who used the service. During this inspection we also looked at further areas of compliance.

We found that the service was now involving people and their families in their own planning as well as other parts of the service. We looked at revised care planning documentation and found this to be very person centred and personalised to the individual. We observed the support given was of a high standard and people told us they were happy living in the home. One person told us “Everything I need is here”. Another told us “The quality of care is great”.

We looked at the environment within the home and found this to be well maintained and very well appointed. We looked at the newer areas of the home and found these had been installed to a very high standard.

We saw that staff recruitment checks were thorough and complete. Staffing levels were appropriate and were monitored closely. We looked at the audit systems to assess the quality of care given and the ways in which feedback was gathered and found this to be robust and inclusive.

During our inspection of The Hall we looked at the involvement of people in care planning and life in the home and whether people were treated with respect and dignity. We found that there was a high standard of care being provided and staff knowledge of privacy and dignity was good. However, there was a lack of involvement in planning and reviews and under utilisation of activity staff in providing stimulating activities that suited all residents.

One person who used the service told us “I really like it here. The food is good, the view is good and the staff are good”. Another person told us “They respect me and listen to me. I don’t think there is anything I would improve”. A relative told us “I am happy with the care and I have no worries about them being here”.

The care plan files we looked at were detailed and accurate and were up to date. The care we observed was person centred and adapted to suit individual people’s needs.

Staff were well trained, including around safeguarding vulnerable adults and the people said they felt safe at all times. Staff understood what they needed to do if they suspected any abuse. We looked at the amount of staff working in the home and found it to be appropriate and we looked at training and supervision of staff and found this to be robust and supportive.

The complaints system being used in the home was appropriate, and staff made good efforts to ensure people had a chance to give their opinion or raise any concerns.

People said that there was food available at any time of the day or night. One person said ‘The food is good’. Another person said ‘I can choose where I want to eat’. A third person said ‘The food portions are adequate over a twenty four hour period. Some portion sizes are small but balance this with the quality, and the food has been above and beyond my expectations. The bacon was so nice the other day I would have liked two pieces’.

People said they were happy with the arrangements in place for dealing with medications. One person said ‘Staff dealt with my tablets professionally’. Another said ‘The doctor prescribes my medication for me. The staff have received training to be able to deal with medications so they know what they are doing’.

We spoke to people about the home environment all were very happy with the recent refurbishment that had been undertaken. One person said ‘It’s like a hotel; you cannot fault the attention to detail that has been undertaken when some of our historic rooms have been redecorated. It is beautiful here’.

People were asked if they were asked for their opinions about the service they received. One person said ‘I have been to a residents meeting’. Another said ‘I speak with the manager to give her my views, regularly’.

People we spoke to told us they felt the staff were wonderful. However, one person said ‘I feel the staff are pressured. If I ring for help sometimes during the day staff have to say I am just dealing with someone else. I will come back to you’. Another person said ‘I did not have my shower last night as staff came to me a bit too late’.