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Step-A-Side Care Limited (Domiciliary Care) Good

Inspection Summary


Overall summary & rating

Good

Updated 10 August 2016

This inspection took place on 4 and 5 July 2016 and was announced. Step-A-Side is a domiciliary care service which provides personal care and support to people of all ages with physical needs as well as people who have learning disabilities, mental health problems and sensory impairments. The service provides care and support to people who live in their own homes. The level and amount of support people need is determined by their own personal needs. We only inspected parts of the service which supported people with the regulated activity of personal care. At the time of our inspection there were only three people receiving support with their personal care.

A registered manager was in place as required by their conditions of registration. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated regulations about how the service is run.

People’s individual needs had been assessed before they started to use the service. People, their relatives and significant health care professionals had been involved in planning for their care.

People and their relatives were introduced to staff members before they assisted them with their personal care. Their support plans included information about how they preferred to be supported. People’s risks, support preferences and independence levels were recorded. However, where best interest decisions had been made there was no clear assessment of the person’s inability to make a decision for themselves.

Appropriate referrals were made to specialist services and health care professionals if people’s needs changed. Systems were in place to support people to administer their prescribed medicines if required.

People were visited by staff who had been trained and checked before they started to support people. Relationships between staff and people who use the service were friendly and warm.

People’s concerns were listened to and acted on. Where complaints had been received they were investigated and responded to in a timely manner in accordance with the provider’s complaints policy. The registered manager monitored the service and valued people’s feedback.

Inspection areas

Safe

Good

Updated 10 August 2016

The service was safe.

People’s individual risks were assessed and managed. Staff understood their role to monitor and protect people from harm and abuse.

People’s medicines were administered in line with their care needs.

People received support from familiar staff who had received robust recruitment checks before they could support them.

Effective

Requires improvement

Updated 10 August 2016

The service was not always effective.

Decisions about people’s care and support were being made in their best interest; however, the assessment of people’s mental capacity to consent to their care in line with the principles of the Mental Capacity Act was not always recorded.

People were supported with their personal care by staff who were trained and supported.

People were referred appropriately to health care services if their care needs changed. People were supported to eat a healthy diet.

Caring

Good

Updated 10 August 2016

The service was caring.

People and their relatives were positive about the care and support they received.

People were treated with dignity and respect. Staff were kind and caring. They received care which focused on their needs and were encouraged to be independent.

Responsive

Good

Updated 10 August 2016

The service was responsive.

Staff approach was centred on the people who they cared for. People’s care and support needs had been assessed and recorded.

People and their relatives knew how to make a complaint and were confident they would be listened to.

Well-led

Good

Updated 10 August 2016

The service was well-led.

Staff and people were positive about the management of the service. They felt that the management team was supportive and approachable.

Systems were in place to monitor the quality of the service being provided. Incidents and concerns were reported and reviewed by the registered manager.