23 April 2019
During a routine inspection
The service was a franchise. The franchisor SureCare offered support to develop policies, procedures and quality monitoring systems.
People’s experience of using this service:
People using the service and their relatives were happy with the service they received. They were cared for in a way which reflected their preferences and needs. They had been involved in planning and reviewing their care and had consented to this. They liked the care workers who supported them and found them kind, caring and compassionate. They also had good relationships with the registered manager and team leader who they knew well and were happy to discuss their care with.
The staff felt supported. They were given the training and information they needed to care for people. They told us they were able to speak with the registered manager whenever they wanted and had regular meetings with them. There were effective processes for recruiting new staff, making sure they had a thorough induction and assessing their competencies.
People's needs had been assessed and planned for. Plans were regularly reviewed and updated when people's needs changed. Risks to their safety and wellbeing had been assessed and they were supported in a safe way. People's medicines were administered in a safe way and as prescribed. The staff monitored people's health and had responded appropriately when people became unwell.
There were procedures to investigate allegations of abuse, complaints, accidents and incidents. The registered manager analysed these to make sure improvements could be made to the service. People using the service and their relatives told us they felt confident raising concerns and that these would be addressed.
The registered manager had a very good knowledge of all the people using the service, their needs and the needs of staff. They had worked with people and provided additional support, such as helping people to access the community and take part in leisure activities. There were effective systems for assessing the quality of the service and making sure improvements were made to reflect people's feedback and experiences.
Rating at last inspection: The service was rated requires improvement at the last inspection on 15 April 2018 (Published 22 May 2018).
Why we inspected: We inspected the service as part of our planned programme of inspections based on the rating given at the last inspection.
Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. We may inspect sooner if we receive any concerning information regarding the safety and quality of the care being provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk