30 November 2017
During a routine inspection
The registered provider had been registered as an individual therefore there was no requirement for a registered manager to be appointed. 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 registered provider acted as a manager and was responsible for the day to day running of the service.
People were safe and there were sufficient staff to meet people's needs. Staff understood how to protect people and how to alert relevant authorities if they had any concerns. Risk assessments were carried out and staff aware how to manage these risks. People received their medicines as prescribed.
Staff received sufficient training to carry out their roles and they were well supported by the provider. The provider had systems in place to ensure staff recruited were safe and suitable to work with people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the systems in the service supported this practice. People were supported to meet their nutritional needs and access health services as required.
The staff supported people in a caring way. Staff protected people's privacy and dignity and treated them with respect. People had developed positive relationships with staff and were supported to be as independent as possible.
The service was responsive to people's needs and ensured people were supported in a way that met their needs. People’s relatives knew how to make a complaint and we saw when concerns had been raised, they had been dealt with in line with the provider’s policy.
The service was well run and the manager was passionate about caring for people and they had a clear vision of the service they wanted to provide. We found provider’s governance framework needed improving to reflect current best practice so the quality performance was effectively monitored to ensure sustainability was maintained.