All inspections: Radian Support - Care Quality Commission

This inspection was carried out by one inspector. We spoke to the manager and three staff of the agency. This was a follow up inspection which was to check if they were compliant with concerns we had at the previous inspection in January 2014 around medication records and records of auditing of the service. Therefore feedback from people who used the service was not sought.

We considered the evidence we had gathered under the outcomes we inspected. We used this information to answer the questions: Is the service safe and is it well led?

If you want to see the evidence supporting our summary please read our full report.

Is the service safe?

We saw systems were in place to ensure people were supported to have their medication as prescribed. This demonstrated to us the service was safe.

Is the service well led?

We saw a range of quality monitoring checks were in place. This ensured practices were monitored to ensure people received safe care. This demonstrated to us the service was well led.

We visited two people who were supported by live in carers, one person who received floating support and two supported living schemes. The supported living schemes provided support to seven people in one scheme and six people in the other scheme. We obtained verbal feedback from six people and observed how staff supported the other ten people, whom had limited verbal communication. People told us and indicated they were happy with their care. We observed staff supported people in a kind, caring and gentle manner. We saw they had a good understanding of people's needs and the level of support people required.

Systems were in place to protect people who could not consent to their care and treatment. Care plans and risk assessments were in place which ensured people received safe and consistent care. People said they had a support plan in place which they had signed and agreed to.

Staff supported people with their medication. We found Improvements were required to aspects of medication practices to further safeguard people.

We spoke with the manager, two support leads and five support staff. Staff said they were inducted, trained, supported and supervised in their roles. Records indicated updates in some training were overdue and supervisions were not happening in line with the organisations policy on one to ones.

Some quality monitoring systems were in place. These needed to be developed to ensure the service was being effectively monitored.

People we spoke to told us that the staff were polite, friendly and helpful and that their privacy was respected whilst they were supported to maintain their independence. One person told us: 'Staff are very good, they are wonderful, I have a say in the care I receive.'

We spoke with two care workers who told us the information recorded in peoples care plans helped them to provide support for people on an individual basis. Two care staff who told us they had been provided with appropriate training and had undertaken safeguarding training within the last month. These people were able to tell us how they would recognise different types of abuse and what their duties and responsibilities were with regards to safeguarding vulnerable adults

We were told each person who used the service was helped to manage their own health, welfare and safety in a 'health action plan'. We looked at three files which contained doctors, dentist, opticians and occupational therapists contact details and appointment schedules. People who used the service told us there was sufficient staff on duty to meet their care needs. One person told us 'I know who is on duty each day and I can always ask them to help me.'

Archived: Radian Support

All Inspections

15 July 2014

During an inspection looking at part of the service

29, 30 January 2014

During a routine inspection

5 March 2013

During a routine inspection