17 April 2019
During a routine inspection
People's experience of using this service:
There were systems in place to assess and monitor the quality of the service. The provider was working to an action plan to address shortfalls in peoples’ care plans and staff files.
People received care and support from regular staff who were kind and caring. People's needs had been fully assessed before they received support from the service. Care plans held enough detail for staff to offer support that reflected people's individual needs and preferences. People's care needs were reviewed regularly. Staff understood the needs of the people they supported and had developed positive relationships.
Safe recruitment practices were in place and people were supported by staff that had undertaken a thorough induction process and training relevant to their roles. Enough staff were employed to meet the needs of the people using the service. Staff were supported through regular supervision and team meetings. Staff felt well supported by the current registered manager and office staff and worked well as a team.
Risks to people had been identified and staff had clear guidance available to them to support people and reduce the risk. People were protected from the risk of harm and abuse. Staff had received training and felt confident to raise any concerns they had.
Medicines were managed safely by trained and competent staff. Medication administration records (MARs) were completed and audited regularly. Staff had access to personal protective equipment (PPE).
People's independence was promoted and their right to privacy and dignity respected. People and their relatives spoke positively about the staff and management team. People told us their views were regularly sought regarding all areas of the service. People felt confident to raise any concerns they had.
The registered provider complied with the principles of the Mental Capacity Act (MCA) 2005. Staff understood and respected people's right to make their own decisions where possible and encouraged people to make decisions about the care they received.
Rating at last inspection: At the last inspection the service was rated Good (Report published 2 November 2016)
Why we inspected: This was a planned inspection based on the rating of the last inspection.
Follow up: We will continue to monitor all intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk