Carerose Cares Limited

People’s experience of using this service and what we found

Staff received training in safeguarding and there were systems in place designed to reduce the risks of abuse. Risk assessments helped protect the health and welfare of people who used the service. There were enough skilled and safely recruited staff available to meet people's needs. People's medicines were managed safely, and senior staff were overseeing medicine processes. People told us they felt safe.

Staff received regular training updates and felt supported in their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager carried out assessments of people's care and support needs before they started using the service. Their care and support were reviewed on a regular basis to ensure their needs continued to be met by staff.

People and their relatives were positive about the care provided. The registered manager and staff knew people well. The service had a complaints policy and all concerns included minor concerns were recorded with actions taken. Care plans included guidance on the support required during each visit.

Whilst no-one was currently receiving end of life care we have made a recommendation about documenting people's future wishes for end of life care.

Systems were in place to assess and monitor the service provided. People's views were sought relating to the service provided and these were used to drive improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for this service was good (published 09 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The service has 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.

There were systems in place, which provided guidance for staff on how to safeguard the people who used the service from the potential risk of abuse. Staff understood the various types of abuse and knew who to report any concerns to.

People were safe because staff supported them to understand how to keep safe and staff knew how to manage risk effectively. There were sufficient numbers of care staff on shift with the correct skills and knowledge to keep people safe.

Staff respected people’s choices and took their preferences into account when providing support.

Training records for staff showed that essential training, covering a variety of topics, had been undertaken including induction training.

Staff members received regular supervisions; the manager told us annual appraisals would be conducted of care workers performance once they had worked at the service for one year. This showed that appropriate systems were in place to support staff to do their job.

Staff were valued and received the necessary support and guidance to provide a person centred and flexible service.

People told us they knew who and how to contact the service if they had a concern or complaint

Systems in place to monitor the quality of the service were currently effective. The registered manager had plans in place to increase systems to monitor quality.