6 October 2016
During a routine inspection
This unannounced inspection took place on 6 October 2016. This is the first inspection of the service since their registration in January 2016.
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.
People received safe care and support. The registered manager assessed risks to people and put plans in place for staff on how to keep them safe. Staff knew how to recognise and report signs of abuse to minimise the risk of harm to people. Staff managed and administered people’s medicines safely as prescribed. Staff were assessed to ensure they complied with the provider’s procedures on managing people’s medicines.
There were sufficient staff to meet people’s individual needs. Staff were recruited safely through a robust recruitment procedure. The registered manager supported staff in their roles. Staff had one to one supervisions and annual appraisal to reflect on their practice. Staff received relevant training to equip them with the skills and knowledge to carry out their work.
Staff understood how to communicate information to people in a way that reflected their needs and preferences. Staff respected people’s choices. People received the support they required to pursue their interests. People liked taking part in the various activities offered at the service and in the community. Staff engaged people on one to one or group activities to reduce the risk of isolation and boredom.
People and their relatives were happy with the care people received. Staff were patient when they supported people. Staff knew people well and had developed positive relationships with them. People received the support they required to maintain relationships that were important to them. Staff knew how to treat people with respect and upheld their dignity and privacy.
The registered manager held meetings with people and their relatives and obtained their views about the service. The service acted on people’s feedback to improve their quality of care. Staff supported people in line with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. Staff respected and promoted people’s rights and did not deprive them of their liberty without authorisation.
The service was flexible and responded positively to people’s requests. Staff regularly reviewed people’s health and the support they needed. Care plans reflected people’s current level of needs and the support required to meet them.
Staff knew people’s food likes and dislikes and met their preferences in relation to their dietary needs. People enjoyed the choice of nutritious and freshly home cooked food offered at the service.
People had their health care needs met. Staff monitored people’s health and made timely referrals to health care professionals for specialist advice. The registered manager monitored accidents and put plans in place to reduce the risk of recurrence. Staff understood procedures to follow in case of an emergency to keep people safe.
People knew how to make a complaint and felt confident the service would resolve any concerns they had promptly. The registered manager and provider carried out checks on the quality of the service and made improvements to the service and quality of care as required.