12 September 2019
During a routine inspection
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found.
At the last inspection we found that safe recruitment practices were not always being followed. This had improved on this inspection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; however, this was not always evident in care plans. We have made a recommendation regarding this as some information was confusing in parts. People were supported to eat, and drink where needed, and staff were trained, supervised and appraised in line with the policy of the organisation.
Everyone we spoke with told us they felt safe receiving care from Adex. There were comprehensive risk assessments in place which were tailored to reflect each person’s assessed need. People confirmed they received their medications and calls on time. Staff knew how to report safeguarding concerns and staff were recruited safely.
Staff treated people with kindness and dignity, and people confirmed they were involved in choices and decisions regarding their care and support. People’s diverse needs were catered for.
Care plans were person centred and reflect the needs of each person. Routines were discussed with people, and they had been involved in completing their care plans. Relatives confirmed communication from staff was good, and staff supported people to make healthcare appointments were needed. Complaints were investigated and responded too, and staff were trained in end of life care.
There was one statutory notification the registered manager had not made us aware of, which was an oversight on their behalf. There were audits and quality checks in place, complete with action plans.
Rating at last inspection- rated good (3 March 2017)
This was a planned inspection based on the previous rating
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.