During a check to make sure that the improvements required had been made
We weren't able to speak with all of the people living at the home, because some people were unable to vocalise. We used a number of different methods to help us understand the experiences of people using the service. For example we observed interactions between staff and people who used the service.
We met and spoke with staff on duty about the care they provided, their training and the support they received. We saw people were relaxed in the company of staff. We noted staff interacted positively with people during our visit. Staff spent time assisting people with activities.
We met with the three staff on duty and a manager from Valued Lives. They told us the people living at the home had been there for many years. Staff said this had enabled them to have a good knowledge of people's needs.
We looked at three care plans, risk assessments, daily records and health records. We saw they had all recently been reviewed and updated.
Where input from other health professionals had been required we saw referrals had been made.
Staff did not receive regular formal supervision. Training was not monitored to ensure staff received refresher training as necessary.
We saw the provider had improved systems to monitor the service monthly and this was used to inform the local authorities.
We used a number of different methods to help us understand the experiences of people using the service, because some of the people using the services had complex needs which meant they were not able to tell us their experiences.
We spoke to the relatives of two people who told us 'they have my relative's best interests at heart' and 'my relative seems quite happy'.
We looked at satisfaction surveys completed by people using the service and their supporters. Comments included 'very helpful and friendly' and 'I am happy that my relative is in your care'.
One person described a member of staff as 'a good bloke'.
We saw people looked relaxed and comfortable in the presence of the care staff. We observed people were clean and well presented. People could make choices about what they ate, clothes they wore and where they wished to spend their time.
We noted various activities took place both within and outside the home; people could choose to join in or not.
Most of the staff have worked a long time for Valued Lives, and most people living there have done so for several years, so staff have a good knowledge of people's needs including communication styles. A newer staff member described how they had been introduced to all parts of Valued Lives services and were able to gradually take on responsibilities as they worked through a structured induction and gained confidence. We saw that the service worked with professionals from other services to increase staff understanding and competence to support people with varied individual needs.