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Inspection Summary


Overall summary & rating

Good

Updated 1 February 2017

We carried out our inspection visit on 7 December 2016 and spoke with people using the service on 9 December 2016. This inspection was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in.

Unique Superior Care Ltd provides personal care and support to people in their own home. At the time of this inspection there were nine people using the service.

The service was last inspected on 25 January 2016. At that inspection we found that improvements had been made regarding the outcomes of safe, effective, responsive and well led to fully meet with regulations under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. After that inspection the report remained as an overall outcome of Requires Improvement. This was to allow time for the provider to demonstrate that their new systems were sustainable and robust enough to maintain an acceptable standard. At this inspection we found that previous standards had been maintained.

The service had a registered manager. 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 using the service told us that they felt safe. This was because they trusted staff and felt that they knew their responsibility to keep people safe from harm and abuse.

Risks associated with people’s care had been fully assessed and managed to protect people from harm. The registered manager assessed people’s needs and used this to ensure the correct numbers of staff provided care and support for people. There were improvements being made to strengthen the information for staff action.

Staff had regular training that provided them with the relevant skills they required to meet people’s needs. The provider completed all appropriate background checks that ensured staff had the right skills and were safe to support people. Appropriate numbers of staff supported people appropriately following an assessment of needs.

People were supported in accordance with the Mental Capacity Act (MCA) 2005. Staff asked for people’s consent to their care and treatment.

Staff supported people to eat sufficient and appropriate meals to sustain their health and well-being.

Staff were kind and treated people with dignity and respect.

Care was centred on people’s individual needs and choices,. Their care plans did not always accurately reflect their changing support needs.

The provider listened to feedback from people using the service and their relatives. People told us that staff acted promptly on their feedback.

The provider had procedures for monitoring and assessing the quality of the service being delivered. The provider had effective procedures to monitor and assess the service in a way that assisted with continued improvements.

Inspection areas

Safe

Good

Updated 1 February 2017

The service was safe.

People told us they felt safe because they trusted staff and their ability to look after them.

Risks relating to the support and care people received were completed and reviewed as needed. These were being improved with additional information for staff action.

People received the support they required to take their medicines.

Effective

Good

Updated 1 February 2017

The service was effective.

Staff received a period of induction and training that supplied them with the skills they required to fulfil their role.

Staff had completed training that included The Mental Capacity Act (2005) and safeguarding vulnerable adults.

People received support with their meals and fluid intake to ensure they had sufficient for their health needs.

Caring

Good

Updated 1 February 2017

The service was caring.

Staff treated people with kindness and compassion.

Staff actively involved people or their relatives in decisions about their care and support.

People were treated in a dignified way with due consideration for their dignity and privacy.

Responsive

Good

Updated 1 February 2017

The service was responsive.

People received the care and support they needed and as they had chosen for this to be delivered.

People’s care plans did not always reflect their current needs.

People felt confident to raise any concerns or complaints and felt these would be responded to.

Well-led

Good

Updated 1 February 2017

The service was well-led.

The registered manager was appreciated by people using the service and by members of staff.

Staff had a clear understanding of their individual role and of the standards expected of them.

The provider had procedures for monitoring and assessing the quality of the service being delivered.