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Stepping Stones Services Good

Inspection Summary


Overall summary & rating

Good

Updated 11 July 2018

Stepping Stones is a domiciliary care service that also provides supported living accommodation. The office is situated in Rochdale. The service is registered to provide personal care and support to adults. At the time of our inspection care was being provided to 28 people. 10 people lived in supported living and 18 people were receiving support in their own homes.

The service was last inspected in March 2016. The service did not have a registered manager in place at that time . The service have since recruited a registered manager.

A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The registered manager and staff understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. Checks were carried out prior to staff being employed to assess their suitability to support vulnerable people.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. We found that leadership at the service had improved and was now good. We found that the responsiveness of the service had improved and was now outstanding.

We observed excellent relationships between people and observed the senior management team and staff interacting with people in a caring, good humoured and friendly manner. Management and staff demonstrated exceptional insight and understanding of people's personal preferences and needs. People appeared happy and relaxed and we overheard much laughter and observed meaningful interactions during our visit.

People's needs were assessed before using the service and on an ongoing basis to reflect changes in their needs. Clear and well thought out arrangements were in place for people who were moving into the supported living service which helped to significantly reduce possible anxiety about this change.

There were enough staff so people could take part in the activities they wished and be supported in meeting their individual needs. People had access to activities that were important and relevant to them, both inside and outside their home. They were protected from social isolation because of the exceptional support and exhaustive range of opportunities offered by staff.

There were systems and processes in place to protect people from harm. People had their medicines administered safely. Staff had a good understanding about the signs of abuse and were aware of what to do if they suspected abuse was taking place.

The service had developed positive working relationships with health and social care professionals which led to joint working to expand people's communication skills.

A robust system for staff recruitment, induction and training was in place. This enabled the staff to support people effectively and safely.

Effective quality assurance audits were in place to monitor the service. The service regularly sought feedback from the people who used the service and their relatives. Staff had regular supervisions and were invited to team meetings.

There was a strong organisational commitment and effective action towards ensuring that there was equality and inclusion across the workforce. There was high levels of satisfaction across all staff and staff told us they were listened to by the managers.

Inspection areas

Safe

Good

Updated 11 July 2018

The service remained Good.

Effective

Good

Updated 11 July 2018

The service remained Good.

Caring

Good

Updated 11 July 2018

The service remained Good.

Responsive

Outstanding

Updated 11 July 2018

The service had improved to Outstanding.

People's care was based around their individual goals and their specific personal needs and aspirations. People with complex needs and behaviours that may challenge, were being empowered and enabled to feel a part of their community, and to achieve their goals and more.

Feedback from relatives was extremely positive about the quality of life that their family members were experiencing.

Support was completely tailored to each individual, and staff understood the best way to support each person with their complex needs.

End of life care was delivered with exceptional sensitivity and consideration to the person�s needs.

Well-led

Good

Updated 11 July 2018

The service had improved to Good.

There was a registered manager in place.

There were systems in place to monitor the quality of care and service provision.

Policies, procedures and other relevant documents were reviewed regularly to help ensure staff had up to date information.

Relatives and staff we spoke with told us they felt supported and could approach managers when they wished.