At the last Care Quality Commission inspection of the service in January 2013 we found the provider to be non - compliant in three areas, care and welfare of people using the service, staff training and quality assurance of the service.We asked the provider to send us an action plan and documented evidence to show how they intended to become compliant and meet the outstanding regulations. The provider sent us a detailed action plan explaining what steps they had taken to achieve compliance and how they intended to maintain compliance with the regulations.
The evidence demonstrated that the service was now fully compliant.
Care plans were now reviewed on a regular basis and updated where necessary. Staff providing the care were fully involved in these reviews along with the person receiving the care.
The staff training programme had been developed, and all staff now received training relevant to their role.
The policies used by the service had been reviewed and updated. An annual review of the policies was now planned to take place every April.
Care reviews had taken place involving both the person receiving the care and the staff members providing the care. Regular reviews would now take place during the year.
Quality assurance questionnaires had been sent out to people using the service, their families and other health professionals. The responses were collated and any comments responded to and acted upon to improve the service