14 July 2020
During an inspection looking at part of the service
People’s experience of using this service and what we found
People were not always supported by enough staff. People told us care visits were sometimes rushed and they did not always know who would be providing them support for each care visit. We have made a recommendation about the deployment of staff.
People, relatives and staff told us management oversight was not always robust over the three sites. We have made a recommendation about management oversight.
People told us they felt safe with the staff. People’s accidents and incidents were recorded.
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; the policies and systems in the service supported this practice.
People’s healthcare associated risks were identified and assessed. Risk assessments included mitigating factors to ensure safe care. People’s needs were met by staff who were well trained and received regular support and supervision. People’s dietary needs were met effectively.
People told us staff were caring and treated them with respect and dignity. People were involved in making decisions regarding their care. People were supported to remain as independent as possible.
Care records were up to date, and person-centred. People’s cultural and religious needs were respected when planning and delivering care. Discussions with the registered manager and staff showed they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service. The provider had a complaints procedure in place and people knew how to make a complaint.
People, relatives, and staff told us they felt the registered manager was approachable. The service had quality assurance processes in place. The service worked well with other organisations to improve people’s experiences.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good. (Report published on 15 August 2019).
Why we inspected
We undertook this targeted inspection to check on a specific concern we had in regard to the lack of management oversight, staffing levels and the support people received. The overall rating for the service has not changed following this targeted inspection and remains Good.
CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
Follow up
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.