4, 12 June 2014
During a routine inspection
At the time of our announced inspection there were two people receiving care and support provided by the registered manager and one other member of staff.
During the inspections we sought to answer the five key questions we always ask; is the service safe, effective, caring, responsive and well-led?
Is the service safe?
Some people who used the service had not had their needs or risks fully assessed to ensure they received the most appropriate care to protect their health and well-being.
The storage of people's confidential information was not safe.
The recruitment process did not provide sufficient evidence that vulnerable people would be protected from the employment of unsuitable staff.
Is the service effective?
A relative we spoke with said, 'They know my X (the person using the service) really well'. Another relative told us, 'I'm very happy with the care'.
The staff knew people well and when people's needs changed there was an informal process in place to share this information between staff.
There was no evidence to support the care plans were effective or had been reviewed regularly.
Is the service caring?
A person who used the service told us, 'I feel confident leaving X in their care'.
We saw some staff entries on daily notes written earlier in the year. These were in an appropriate manner to support people's dignity.
Is the service responsive?
The views of people had not been sought and used to improve care.
The provider had not informed CQC of changes that affected their service.
Is the service well led?
There were no systems in place to regularly audit the environment people worked in, or the quality of the service provided.
There was no evidence provided to show how staff were supported during their induction.
Staff were not being supported through individual supervision which gave them the opportunity to discuss the care they provided and their own personal development.