Archived: John Street

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We observed staff carrying out care tasks and we found they were doing so in accordance with each person's care plan.

Throughout our visit, we saw that staff treated people with dignity and kindness. We observed that a friendly and positive approach was used, to ensure that the wishes and needs of people using the service were respected.

People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

There were enough qualified, skilled and experienced staff to meet people's needs. However, some of the relatives we spoke with raised concerns about the use of agency staff, as they thought they did not know the needs of their relatives.

The provider had an effective system to regularly assess and monitor the quality of service that people received.

We saw that people's records were detailed, accurate and fit for purpose. They were regularly reviewed to ensure that they remained relevant and met people's needs.

There were appropriate arrangements in place for managing medicines. Staff understood their responsibilities and could describe their role. Storage and stock control arrangements had been much improved, although we identified a small number of errors which we discussed with the registered manager on the day of the inspection.