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Archived: Alzheimer's Society - Sheffield Outstanding

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Inspection Summary


Overall summary & rating

Outstanding

Updated 8 January 2016

Alzheimer’s Society Sheffield supports people living in their own homes who have a diagnosis of dementia before their 65th birthday. Support is based on individual need and access to activities in the local community and in people’s own homes is provided to facilitate breaks for carers. The agency office is based in the centre of Sheffield, close to all amenities and transport links. The service is available 363 days each year from 7am to 11pm. At the time of this inspection Alzheimer’s Society Sheffield was supporting 12 people whose support included the provision of the regulated activity ‘personal care’.

There was a registered manager at the service who was registered with CQC. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Our last inspection at Alzheimer’s Society Sheffield took place on 25 November 2013. The service was found to be meeting the requirements of the regulations we inspected at that time.

This inspection took place on 13 and 14 July 2015 and short notice was given. We told the registered manager two days before our visit that we would be coming. We did this because the registered manager is sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that the registered manager would be available.

Without exception, people supported, their representatives and professionals spoken with made outstanding comments about Alzheimer’s Society Sheffield.

People supported by the service told us staff were “Wonderful” and became animated when speaking of their support worker.

Relatives spoken with were very positive about the support provided by Alzheimer’s Society Sheffield. Comments included, “They are just brilliant. I cannot speak highly enough of them. They have changed our lives,” “Kind, caring people that know us well and give us the help we need, massive thanks to them” and “I am delighted with them. We couldn’t manage without them.”

One relative told us they would not still be together as a family without the support fromAlzheimer’s Society Sheffield. They said, “We are still all together because of their support.”

Healthcare professionals spoken with also made very positive comments. One healthcare professional told us, “It has been my experience that the service provides an excellent facility and I have no reservations in signposting clients or using their specialist support.”

Whilst the service did not support anyone with their medicines, we found systems were in place to make sure people would receive their medicines safely should this support be needed.

Staff recruitment procedures were thorough and ensured people’s safety was promoted.

Staff were provided with relevant induction and training to make sure they had the right skills and knowledge for their role. Staff understood their role and what was expected of them. They were happy in their work, motivated and proud to work at the service. Staff were confident in the way the service was managed. The service followed the requirements of the Mental Capacity Act 2005 (MCA) Code of practice and the principles of the Deprivation of Liberty Safeguards (DoLS). This helped to protect the rights of people who may not be able to make important decisions themselves.

The support provided was person centred and flexible to suit the needs of the person supported. Support staff were always introduced and matched with the person to facilitate good relationships.

Relatives said they could speak with staff if they had any worries or concerns and they would be listened to.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to. People using the service and their relatives had been asked their opinion via surveys, the results of these had been audited to identify any areas for improvement.

Inspection areas

Safe

Good

Updated 8 January 2016

The service was safe.

People were protected from harm. Risks to the health, safety or wellbeing of people who used the service were fully understood and addressed in their care plans. Support workers had the knowledge, skills and time to care for people in a safe manner.

There were effective recruitment and selection procedures in place.

People expressed no fears or concerns for their safety and relatives told us they were confident the person supported was very safe.

Effective

Good

Updated 8 January 2016

The service was effective.

The service ensured that people received effective care that met

their needs and wishes. People supported by the service and their relatives gave us excellent feedback about the support provided.

Social care professionals reported excellent communication with the service and gave very positive comments about the support provided to people.

Staff were appropriately trained and supervised to provide care and support to people who used the service.

People felt staff had the skills to do their job.

Caring

Good

Updated 8 January 2016

The service was caring.

Support was based on a commitment to the individual and their rights. The service promoted the values of kindness and respect and these were reflected in the day to day support provided. Staff respected people’s privacy and dignity and knew people’s preferences well.

People who used the service and their relatives valued the relationships they had with support workers and gave positive comments about the support provided by staff that knew them very well.

Staff were very proud to work for the service and displayed a commitment to supporting people in a manner that was meaningful and had positive outcomes.

The service provided opportunities for people to share their views and inform practice.

Responsive

Outstanding

Updated 8 January 2016

The service was responsive.

People’s care plans contained a range of detailed information and had been reviewed to keep them up to date. Staff had a very good understanding of people’s preferences and support needs. Because of the depth of staff’s knowledge of the individuals supported, changes in people’s needs were quickly recognised and appropriate action was taken to address these so that people received safe and effective care.

We received outstanding comments from relatives. They told us the service was very flexible and always based on their relatives interests and preferences.

The service was part of an active community resource to provide further social opportunities.

Relatives told us the managers were approachable and they felt confident that any concerns would be listened to.

Well-led

Outstanding

Updated 8 January 2016

The service was well led with very good community links and partnership working.

The culture of the service was inclusive and positive and staff felt valued by the registered manager. The registered manager and staff told us they felt they had a very good team. Staff said the managers were approachable and communication was excellent within the service. Staff meetings were held to share information.

There were quality assurance and audit processes in place to make sure the service was running well.

The service had a full range of policies and procedures available to staff.