Our current view of the service
Updated
11 December 2023
Date of assessment: 11 March 2024 to 9 April 2024.
There were quality assurance systems in place to measure the quality and safety of the care being provided.
Concerns about safety had been investigated and lessons learnt to ensure changes were made which improved care for others.
There were effective systems and processes in place to make sure people were protected from abuse.
Risks were managed safely, and people were, where able, involved in making decision about how to keep themselves safe.
The service was able to demonstrate how they were meeting the principles of Right support, right care, right culture. For example, the support provided help to maximise people’s choice, control, and independence. The ethos, values and attitudes of leaders and support staff helped to ensure people led empowered lives which included access to their local community. Staff were trained to support people when they became anxious or distressed.
Staffing levels were appropriate, and the recruitment processes promoted safety.
Staff anticipated and responded appropriately to deterioration in people’s health and wellbeing.
Overall, staff spoke of effective leadership and a positive culture where their views were valued.
People's experience of the service
Updated
11 December 2023
People told us they felt safe and knew who to speak to if they had any concerns, they felt they would be listened to, and action taken.
People confirmed there were enough staff to meet their needs. One person said, “Yes there is always staff around to help me”.
One person was able to tell us how they were being involved in teaching staff how to support them with their feeding tube. Being able to facilitate this was clearly very important to the person.
People were supported to have choice and control over their own care. For example, 1 person said, “They help me to do all the things I can’t do for myself now… with their help I can do all the things I want to do”.
We observed people enjoying activities in their own home, for example, 1 person was colouring. A staff member supported them to position the pen in their hand and double checked the person was happy with this. We saw 2 other people were enjoying a game of cards on the floor with a staff member. Both people were engaged in the game and laughing and joking with staff.
Where people needed support understanding or answering questions, staff rephrased the question in a way the person would understand or supported them in what they wanted to say without influencing their answers.
We observed that staff recognised when 1 person was tired and offered additional support. One person had a visual impairment. Staff were aware of this and adapted their support by offering verbal prompts to alert the person to potential environmental risks enabling them to move safely about their home. During 1 of our visits, we observed staff supporting a person who had just recovered from a series of seizures. Staff were extremely attentive. Two staff were with the person at all times. As the person became more aware, staff reassured him he was ok. It was evident that the team supporting the person were alert to their needs and that the person’s comfort was a priority.