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Inspection Summary


Overall summary & rating

Good

Updated 9 June 2017

We inspected this service on 2 and 3 May 2017. This was an announced inspection and we telephoned two days’ prior to our inspection, in order to arrange home visits with people. On our previous inspection on 16 April 2015 we rated the service as Good.

The service provides care and domiciliary support for older people and people with a learning disability who live in their own home across south Derbyshire and south Staffordshire.

There were two registered managers in the service who worked together to manage the service. 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 2008 and associated Regulations about how the service is run.

People were protected from harm as staff could identify the potential signs of abuse and knew who to report any concerns to. Risks to people’s safety were continually assessed and reviewed. There were enough staff to keep people safe and to meet their needs. People received their medicine and were supported to apply any cream they needed to keep well. They received support to manage their health. Where needed, people were helped to prepare meals and had access to food and drink that they wanted.

Staff were kind and caring and understood people’s needs and listened to and acted upon their views. People were involved with decisions made about their care and were encouraged to lead as independent a life as possible. They had detailed support plan that recorded their preferences and likes and dislikes. People’s support records were regularly reviewed with they were included in the process. People’s privacy and dignity were maintained and they felt staff treated them with respect.

Staff completed an induction prior to commencing their role. They had the skills and training needed and their performance was regularly reviewed to enable them to support people effectively. People were provided with the information they needed if they wished to make a complaint and they felt their complaint would be acted on.

People benefitted from receiving a service from staff who worked in an open and friendly culture and were happy in their work. Checks were carried out prior to staff starting work to ensure their suitability to work with people.

People felt the service was well managed and they were asked to express their views and be involved in decisions related to the planning of their care. People chose how support was provided. The provider had systems in place to assess and monitor the quality of care. People were encouraged to give their feedback and this was used to drive improvements.

Inspection areas

Safe

Good

Updated 9 June 2017

The service was safe.

People felt safe when they received care and staff could identify the potential signs of abuse and knew who to report any concerns to. Risks to people’s safety were continually assessed and reviewed and people’s medicines were managed safely. There were enough staff to keep people safe and to meet their needs.

Effective

Good

Updated 9 June 2017

The service was effective.

People could make decisions about their care and staff sought their consent. Where the agreed support included help at meal times, this was provided and food was prepared for people. People were supported by staff who completed an induction prior to commencing their role. They had the skills and training needed and their performance was regularly reviewed to enable them to support people effectively.

Caring

Good

Updated 9 June 2017

The service was caring.

People and their relatives were positive about the way staff provided care and support. The staff were kind, caring and understood people’s needs and listened to and acted upon their views. People’s privacy and dignity were maintained and people felt staff treated them with respect. People were involved with decisions made about their care and were encouraged to lead as independent a life as possible.

Responsive

Good

Updated 9 June 2017

The service was responsive.

People were involved in the review of their care and had detailed support plans in place that recorded their preferences and likes and dislikes. People were included in reviewing them. People were provided with the information they needed if they wished to make a complaint and they felt their complaint would be acted on.

Well-led

Good

Updated 9 June 2017

The service was well-led.

People, relatives and staff were encouraged to provide feedback about the quality of the service and this information was used to make improvements. Quality assurance processes were in place to review how the service was provided. Staff were supported in their role and felt able to comment on the quality of service and raise any concerns.