People were treated respectfully and their independence was supported and encouraged. They received care and support that met their needs. Care and support records were being improved. There were systems in place to protect people from poor practices or abuse. Staff received support and training to enable them to meet people's needs. The agency had systems to monitor the standards within the service and these were continuing to be developed.
We carried out a follow-up inspection on 24 July 2013 to check that improvements and work agreed in an action plan had taken place. During the inspection we were shown new documentation used by the provider to monitor medication administration. We also spoke to a person using the service in their own home.
During our visit we found people's contribution to discussions and decision making about their care to be documented. We saw that people received an assessment of their needs and these were regularly updated. We found that a suitably qualified and sufficient staff team was available to meet the needs of the people who use the service. The staff were trained in and knowledgeable about such things as the administration of medication. However, we found that staff were not always maintaining accurate records on the administration of medication and managers at the service were not recording monitoring checks on medication documentation.
We found the service was adhering to the requirements of its own policy on the retention of personnel files and people's care documentation. We saw that records were stored and destroyed securely.
One person said of Cloud 9 Care Limited: "They have been of great assistance to me." Another person said: "Overall, it has worked out very well and I'm very pleased with them."