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Inspection carried out on 8 July 2019

During a routine inspection

About the service

The provider is registered with us to provide personal care and support for people who live in their own homes. At the time of our inspection eight people received care and support from this service.

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

People received safe care by staff that knew them well. There were enough staff available for people who had the necessary training and experience. Risks to people were considered and reviewed and lessons learnt when things went wrong. Medicines were managed in a safe way. There were infection control procedures in place.

People were supported by staff they were happy with. People were encouraged to remain independent, offered choices and their privacy and dignity was maintained. 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 support this practice.

Feedback was sought from people and relatives who used the service, this was used to make changes. There were systems in place to manage the quality within the service. There was a registered manager in place who understood their responsibility around registration with us. Staff felt supported and listened to.

People received care based on their assessed needs. Peoples preferences were taken in to account. People had the opportunity to participate in activities they enjoyed. There was a complaints procedure in place.

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

Rating at last inspection

The last rating for this service was Good. (14 February 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Inspection carried out on 9 January 2017

During a routine inspection

This inspection took place on 9 and 12 January 2017 and was announced. Atiba House is registered to provide personal care to up to eight people. Support is provided to people within a supported living scheme. People have a variety of needs including living with mental health concerns, a history of substance misuse and contact with the criminal justice system. At the time of the inspection there were 7 people receiving the service.

There was a registered manager in post. 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.

People received care and support, which kept them safe. Staff understood how to safeguard people from abuse. Staff understood risks to people and took action to reduce risks and ensure people’s safety. The registered manager had enough staff to meet people’s needs and there were systems in place to make sure staff were recruited safely. People received support to take their prescribed medicines safely.

People received care and support from staff that had the skills to meet their needs. Staff understood the principles of the MCA and people were asked for their consent to receive care and support. People were supported to choose and prepare meals which helped them maintain a healthy diet. People were supported to maintain their health and wellbeing.

People had caring relationships with the staff and other people who used the service. People were involved in decisions about their care and support and could express their views. People were supported to regain and maintain their independence and develop new skills. People had their dignity and privacy respected by staff.

People were involved in the planning and review of their care. Care and support provided was responsive to people’s needs and helped them to achieve their goals. People were supported to develop interests and do things they enjoyed. People were able to raise concerns or complaints and there were systems in place to investigate and learn from complaints.

People could talk to staff and the registered manager openly and were involved in how the service was managed. The registered manager had systems in place to support staff to deliver effective care and support. The quality of the service was monitored and the registered manager listened to people’s feedback. Feedback was used to make improvements to the service.