6, 9 June 2014
During a routine inspection
During this inspection we visited the service's offices and looked at a sample records held there. We spoke with eight people who received care and two people who were relatives of people who received care. We also spoke with five care workers.
We considered our inspection findings to answer questions we always ask; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led?
This is a summary of what we found;
Is the service safe?
People were treated with respect and dignity by the staff. People we spoke with told us that they were always treated with respect, given choices and never discriminated against.
Risk assessments had been undertaken and safe systems of work developed. This reduced risks to people who used the service and staff.
Staff had received appropriate professional development and were able to obtain further relevant qualifications. Staff wore uniforms and carried identification badges. The service informed people who would be providing their care for the week to come. This meant people's safety was maintained.
Procedures were in place for the management and administration of medicine. Care records identified the level of support people received with medication. Staff who supported people with their medication needs had received training in medication. This ensured that people were kept safe and their needs were met.
Staff were able to explain how they would report concerns to the provider and that these were acted on.
Is the service effective?
People's health and care needs were assessed. We looked at people's care plans at the provider's offices. These were detailed and were regularly reviewed.
We saw that where appropriate people's care plans contained an assessment of their mental capacity which had been carried out in accordance with the Mental Capacity Act 2005.
People's needs were taken into account during their visits. People's daily records showed their involvement and care given during visits.
Is the service caring?
People were supported by kind and attentive staff. One person told us, 'I cannot fault them. They are a lovely bunch.'
People's preferences, likes, dislikes and diverse needs had been recorded and care and support had been provided in accordance with people's wishes.
Staff communicated effectively with people using the service using specialist equipment where required.
Is the service responsive?
We saw records that showed the service responded quickly to people's changing needs. People were able to express their views and these were acted on. They were supported to maintain their independence in their homes.
Staff rotas were organised so that people had a small number of staff to care for them who understood their needs.
Is the service well-led.
There were regular staff meetings. Staff told us that they felt supported working in the service and that their views and suggestions were taken notice of.
The service had a registered manager in place.