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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 17 January 2019

The Service Tree Limited is a domiciliary care agency. This service supports people in their own home and people receive care and/or support in order to promote their independence and well-being. At the time of our inspection 29 people were using the service. The service can support people who are living with dementia, have a learning disability, special sensory needs and/or a physical disability. It can also assist people who have mental health needs. The service provided support to people living in Nottinghamshire.

This was the first inspection of the service since it was registered at its new address. We last completed an inspection of the service in March 2016. At that inspection we said that the overall quality rating for the service was, ‘Good’. At the previous inspection the safe rating was requires improvement. At this inspection this rating had improved and was now ‘Good’.

At this inspection we found the evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were very satisfied with all aspects of the service provided and spoke highly of staff and the registered managers. People who used the service told us they were treated with compassion and kindness and that their privacy and dignity were respected.

People who used the service and relatives we spoke with told us they felt staff provided safe and effective care. Staff turnover was low which people and relatives valued. People were supported by a small team of staff that understood their needs.

We found that there were systems, processes and practices to safeguard people from situations in which they may experience abuse including physical harm. Risks to people’s safety had been assessed, monitored and managed so they were supported to stay safe while their freedom was respected.

People told us they received their medicines as prescribed. Medicines Administration Records (MARs) reviewed had been completed by staff and were regularly audited by management.

Background checks had been completed before new care staff had been appointed. People were protected by there being arrangements to prevent and control infection and lessons had been learnt when things had gone wrong.

Staff had received all the training required to support people safely. Staff received regular supervision and annual appraisals and were able to reflect on the care and support they delivered. Staff were able to identify further training in addition to their mandatory training.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People had their rights protected under the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their nutritional needs when required. People had been supported to live healthier lives by being supported to have suitable access to healthcare services so that they received on-going healthcare support. Suitable arrangements had been made to obtain consent to care and treatment in line with legislation and guidance.

People received personalised care that was responsive to their needs. Care staff recognised the importance of promoting equality and diversity by supporting people to make choices about their lives. Confidential information was kept private.

There was strong sense of leadership in the service that was open and inclusive. The registered persons focused on achieving positive outcomes for people and their staff. People benefited from there being a robust professional management framework that helped care staff to understand their responsibilities so that risks and regulatory requirements were met.

The ser

Inspection areas

Safe

Good

Updated 17 January 2019

The service was safe.

Care staff knew how to keep people safe.

People had been supported to avoid preventable accidents while their independence was promoted.

Medicines were safely managed.

Sufficient staff were deployed in the service.

Safe recruitment checks were in place.

People were protected by the prevention and control of infection.

Effective

Good

Updated 17 January 2019

The service remains Good

Caring

Good

Updated 17 January 2019

The service remains Good.

Responsive

Good

Updated 17 January 2019

The service remains Good.

Well-led

Good

Updated 17 January 2019

The service remains Good.