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Personal Assistant Services North Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 17 November 2016

Personal and Community Support Services Personal Assistant Services North provides personal care to people with learning disabilities, who live in their own homes.

This announced inspection took place on 26 September 2016. There were 21 people receiving care at that time.

The service had a registered manager in place. 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.

Staff were only employed after the provider had carried out comprehensive and satisfactory pre-employment checks. Staff were well trained, and well supported, by their managers.

There were sufficient staff to meet people’s assessed needs. Systems were in place to ensure people’s safety was effectively managed. Staff were aware of the procedures for reporting concerns and of how to protect people from harm.

People received their prescribed medicines safely. People’s health, care and nutritional needs were effectively met.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and report on what we find. The provider was aware of what they were required to do should any person lack capacity. They had made appropriate requests to commissioners to assess people’s capacity in regard to specific decisions. However, the provider had not yet completed their own assessment of people’s mental capacity and it was therefore unclear how people’s day-to-day care was being provided in their best interest. The provider had recently created a policy and procedure in relation to the MCA. The registered manager received this during our inspection and told us it would be implemented shortly and would assist them to bring about the necessary improvements.People received care and support from staff who were kind, compassionate and respectful to the people they were supporting. People and their relatives had opportunities to comment on the service provided and people were involved in every day decisions about their care.

People’s care records provided staff with detailed guidance to ensure consistent care was provided to each person. Changes to people’s care was kept under review to ensure the change was effective. People were supported to take part in social and recreational activities that promoted their well-being and reduced the risk of social isolation.

The registered manager was supported by a staff team that included team leaders and support workers. The service was well run and staff, including the registered manager, were approachable. People and relatives were encouraged to provide feedback on the service in various ways both formally and informally. People’s views were listened to and acted on. People had access to information on how to make a complaint and were confident their concerns would be acted on.

We saw there were systems in place to monitor the quality of the service. When areas for improvement were identified action was taken to address the shortfalls. People and their relatives were asked for their views and staff were always looking for ways to improve the service.

Inspection areas

Safe

Good

Updated 17 November 2016

The service was safe.

There were systems in place to ensure people’s safety was managed effectively. Staff were aware of the actions to take to report their concerns.

Staff were only employed after satisfactory pre-employment checks had been obtained. There were sufficient staff to ensure people’s needs were met safely

People were supported to manage their prescribed medicines safely.

Effective

Good

Updated 17 November 2016

The service was effective.

The provider was not acting fully in accordance with the Mental Capacity Act 2005 (MCA) legislation to protect people’s rights. People’s capacity to make decisions about their day-to-day care was not assessed. However, the provider was taking action to rectify these deficiencies. This was to ensure that people’s rights were always protected in line with the MCA.

Staff knew the people they cared for well and understood, and met, their needs. People received care from staff who were trained and well supported.

People’s health and nutritional needs were effectively met.

Caring

Good

Updated 17 November 2016

The service was caring.

People received care and support from staff who were kind and compassionate.

People and their relatives had opportunities to comment on the service provided.

Staff treated people with dignity and respect.

Responsive

Good

Updated 17 November 2016

The service was responsive.

People’s care records provided staff with detailed guidance to ensure consistent care was provided to each person.

People were supported to take part in social and recreational activities that promoted their well-being and reduced the risk of social isolation.

People had access to information on how to make a complaint and were confident their concerns would be acted on.

Well-led

Good

Updated 17 November 2016

The service was well led.

The registered manager was experienced and staff ensure that people benefited from safe and appropriate care.

People were encouraged to provide feedback on the service in various ways. People’s comments were listened to and acted on.

The service had an effective quality assurance system that was used to drive and sustain improvement.