Stamford Bridge DCA (Domiciliary Care Agency) provides personal care to some people living in their own or rented accommodation within an assisted living complex. People can choose to use some of the facilities from the neighbouring nursing home which is on the same site. At the time of this inspection there were 17 people living in the complex and two of those were receiving a regulated activity. At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Systems were in place to assess and monitor the quality of the service provided. People told us they were happy with the level of care and support provided by staff, which met their needs.
People were kept safe from harm and abuse. Policies and procedures were updated regularly and staff understood how to identify abuse and report it. Risks to people were identified and managed to prevent people from receiving unsafe care and support.
The service was staffed to meet the needs of people using the service. People received their medication as prescribed and in a safe way. One health professional had identified that a person self-administering their medicines had missed taking their evening dose on one occasion. We discussed this with the provider and they were following this up with the relevant people involved.
Recruitment policies were in place and checks were completed prior to employment which, ensured people were of a suitable character to work in a care setting.
The service had suitable measures in place to prevent and control infection.
Staff received an induction to the service to enable them to carry out their role and understand their responsibilities. Staff had the right competencies and skills to meet people's needs and undertook regular training. Staff received regular supervision and an annual appraisal to support them.
People's nutritional and hydration needs were met. Staff assisted with preparing meals and made sure people had adequate fluids throughout the day.
People were supported by staff when they needed to attend healthcare appointments. Appropriate referrals were made to health professionals who supported people's health and well-being.
Staff supported people to have maximum choice and control of their lives, in the least restrictive way possible; the policies and systems in the service support this practice.
People were treated with care, kindness, dignity and respect. People received care and support that considered their needs and preferences. Staff were knowledgeable and understood people's
care needs.
Care plans reflected how people would like to receive their care and support, and covered people’s diverse needs, such as their religious needs and preferences.
People knew how to make a complaint and were confident it would be dealt with appropriately. No-one was currently receiving end of life care.
Further information is in the detailed findings below