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Testimony Assembly Care Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 12 October 2017

This inspection was announced and took place on 6 September 2017. We gave the provider 48 hours’ of our intention to undertake the inspection. This was because the service provides domiciliary care to people in their own homes and we needed to make sure someone would be available at the office.

Testimony Assembly Care is a domiciliary care agency registered to provide personal care to people living in their own homes. A registered manager was in post and provides care along with a small team of staff. 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 2008 and associated Regulations about how the service is run. At the time of our inspection five people received care and support services.

At the last inspection on 11 August 2016 we found that the provider needed to make some improvements to ensure safe systems for the recruitment of staff were in place. Improvements were also needed to ensure the provider kept us informed with changes to their registration, as they are required to; and monitored their practice to ensure it was in line with their policies. This inspection found improvements had been made and people were positive about the care and support they received and the service as a whole.

People were supported by staff who had received training in how to recognise possible signs of abuse and how to report any concerns. Staff were able to tell us of the needs of the people they provided care for and their roles and responsibilities in keeping people safe. Staff understood how to protect people from abuse and were clear about the steps they would need to take if they suspected someone was unsafe.

People had their individual risks assessed and had plans in place to manage them. Medicines were administered by staff that had received training. The provider had arrangements in place to make sure that there were sufficient staff to provide support to people in their own homes. Staff said training helped them do their job and gave them the right skills to meet the needs of the people they supported.

Staff were caring and treated people with privacy and dignity and respected people’s homes and belongings. People were supported to maintain their independence.

People were involved in how their care and support was received; they were given choices and their wishes were respected by staff. Staff understood they could only care for and support people who consented to being cared for. Staff supported people with food and drink where needed and would arrange health appointments on people’s behalf if they asked.

People were encouraged to share their opinions about the quality of the service through reviews and visits with the management team and satisfaction questionnaires. People felt confident they could raise any issues should the need arise and that action would be taken.

The provider ensured regular checks were completed to monitor the quality of care that people received and look at where improvements could be made.

Inspection areas

Safe

Good

Updated 12 October 2017

The service was safe.

People received care from staff that understood how to keep them safe and minimise the risk of potential harm.

People were supported by a sufficient number of regular staff and were happy with how staff supported them with their medicines.

Effective

Good

Updated 12 October 2017

The service was effective.

People received care in the way they wanted and from staff who were trained to support them. People made decisions about their care and support.

Staff had a good understanding of their responsibilities and sought people’s consent before proving care.

Caring

Good

Updated 12 October 2017

The service was caring.

People were supported by caring staff that knew them well.

People were supported with dignity and kindness and were encouraged to maintain their independence.

Responsive

Good

Updated 12 October 2017

The service was responsive.

People received care that met their needs. Staff provided care that took account of people’s individual needs and preferences and offered people choices.

People understood they could complain if needed and management were responsive. People had regular opportunities to feedback about the service.

Well-led

Good

Updated 12 October 2017

The service was well led.

People and staff were complimentary about the management of the service.

People benefited from a service which was regularly monitored because the registered provider had systems in place to check and improve the quality of the service provided.