15 May 2018
During a routine inspection
This inspection took place on 16 May 2018. We gave the provider two days’ notice of the inspection as we needed to make sure they would be available. At our last inspection on 14 March 2016 the service was rated Good. At this inspection we found the service remained Good. The service demonstrated they continued to meet the regulations and fundamental standards.
The registered provider managed the service. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service had safeguarding and whistle-blowing procedures in place and staff had a clear understanding of these procedures. Appropriate recruitment checks took place before staff started work. There was enough staff available to meet people’s care and support needs. Risks to people had been assessed and reviewed regularly to ensure their needs were safely met. Incidents and accidents were monitored and where trends were identified action was taken to reduce the likelihood of them happening again. Medicines were managed appropriately and people were receiving their medicines as prescribed by health care professionals. Staff had received training in infection control and food hygiene and they were aware of the steps to take to reduce the risk of the spread of infections.
Assessments of people’s care and support needs were carried out before they started using the service. Staff completed an induction when they started work and they received training relevant to people’s needs. People’s care files included assessments relating to their dietary support needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff treated people in a caring, respectful and dignified manner. People and their relatives had been consulted about their care and support needs. People could communicate their needs effectively and could understand information in the current written format provided. People were confident their complaints would be listened to and acted on. Staff said they would support people according to their diverse needs. There were systems in place to provide people with end of life care and support if required.
The provider recognised the importance of monitoring the quality of the service provided to people. They took people’s views into account through spot checks and satisfaction surveys. Staff said they enjoyed working at the service and they received good support from the provider and office staff. There was an out of hours on call system in operation that ensured management support and advice was always available for staff when they needed it.