You are here

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 10 January 2018

This inspection took place on the 7 December 2017 and was announced. At the previous inspection of this service in July 2016 we found three breaches of regulations. Staff were not always punctual, the service had not always notified the Care Quality Commission (CQC) of allegations of abuse and quality assurance systems were not being properly implemented. We found these issues had been addressed during this inspection.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe and well-led to at least good. The action plan set out the action they planned to take and during the inspection we found it had been taken and issues had been addressed.

This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. It provides a service to older adults and younger disabled adults. 117 people were using the service at the time of our inspection.

The service had a registered manager in place. 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.

Appropriate safeguarding procedures were in place and people told us they felt safe using the service. Risk assessments provided information about how to support people in a safe manner. There were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Medicines were managed safely. Staff had a good understanding about infection control issues and used protective clothing to help prevent the spread of infection. Lessons were learnt when accidents or incidents occurred to help improve the service.

People’s needs were assessed before they began using the service. Staff received training and supervision to support them, in their role. Where the service supported people with meal preparation they were able to choose what they ate and drank. People were supported to access relevant health care professionals and the service worked with other agencies to support people. People were able to make choices for themselves where they had the capacity to do so and the service operated in line the Mental Capacity Act 2005.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs and these were subject to review. The service had a complaints procedure in place and people knew how to make a complaint.

Staff and people spoke positively about the registered manager. The service had various quality assurance and monitoring systems in place, which included seeking the views of people on the running of the service.

Inspection areas

Safe

Good

Updated 10 January 2018

The service was safe. Appropriate safeguarding procedures were in place and staff understood their responsibility for reporting any safeguarding allegations.

Risk assessments were in place which provided information about how to support people in a safe manner.

The service had enough staff to support people in a safe manner and robust staff recruitment procedures were in place.

Medicines were managed in a safe manner.

Systems were in place to reduce the risk of the spread of infection.

Where accidents and incidents occurred these were reviewed so lessons could be learnt to help prevent further such incidents.

Effective

Good

Updated 10 January 2018

The service was effective. People�s needs were assessed prior to the provision of care to determine if the service was able to meet the person�s needs.

Staff undertook regular training to support them in their role. Staff had regular one to one supervision meetings.

People were able to choose what they ate and drank.

People were supported to access relevant health care professionals as required and the service worked with other agencies to promote people�s health and wellbeing.

People were able to make choices about their care and the service operated in line with the Mental Capacity Act 2005.

Caring

Good

Updated 10 January 2018

The service was caring. People told us they were treated with respect by staff and that staff were friendly and caring.

Staff had a good understanding of how to promote people�s dignity, privacy and independence.

Responsive

Good

Updated 10 January 2018

The service was responsive. Care plans were in place which set out how to meet people�s needs in a personalised manner. Care plans were subject to regular review.

The service had a complaints procedure in place and people knew how to make a complaint.

Well-led

Good

Updated 10 January 2018

The service was well-led. People and staff told us they found senior staff to be supportive and helpful. There was a registered manager in place.

Systems were in place for monitoring the quality of care and support at the service. Some of these included seeking the views of people using the service.