26 February 2019
During a routine inspection
People’s experience of using this service: People told us they felt safe when care staff were in their home and that the support they received was also safe. Risks to people had been assessed and measure put in place to reduce the risks. The registered manager reviewed all accidents to look for any trends and actions that could be taken to prevent recurrence.
There were sufficient numbers of safely recruited staff employed to ensure people’s needs could be met. Staff were knowledgeable about safeguarding procedures and how to raise any concerns they had.
People were supported with their medicines safely, by staff who had been trained. People told us the service was flexible. When required, people’s scheduled call times had been altered to enable them to attend appointments.
Consent to care was sought and recorded in line with the principles of the Mental Capacity Act 2005. When people were unable to consent, best interest decisions were recorded.
Staff felt well supported in their role and able to raise any issues with senior staff and the registered manager. Regular training had been completed by staff and they received supervisions and an annual appraisal to further support them in their posts.
The service worked with other professionals and agencies to help ensure people’s needs were met effectively. Advice provided was clearly recorded and followed by staff.
Systems were in place to gather feedback from people regarding the service and action was taken to improve the service, based on the feedback. An effective system was also in place to manage complaints.
Care plans were in place that were detailed and reflected people’s needs and preferences. People were involved in the creation and review of these plans, to ensure they remained accurate and effective in meeting their needs.
People and their relatives told us staff were caring and compassionate and spoke positively of the quality of care they received. People were supported to be as independent as they wanted to be and their privacy and dignity was maintained by staff.
The registered manager completed regular audits on the quality and safety of the service and took action to address any issues identified.
Rating at last inspection: Good (Published 27 September 2016)
Why we inspected: This was a planned comprehensive inspection based on the previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.