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Inspection carried out on 27 June 2017

During a routine inspection

Mobelle provides personal care and support services to older people living in their own homes. At the time of our inspection the provider was supporting up to 20 people.

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.

The provider had basic risk assessments in place which were regularly reviewed, but needed to ensure that more detailed risk assessments were in place when people’s needs changed.

The service had a safeguarding procedure in place. Staff and the provider took safeguarding concerns seriously, but the provider was not aware of their duty to notify the CQC when incidents occurred. Staff we spoke with however demonstrated a good understanding of safeguarding issues.

There was a robust recruitment procedure to help ensure the staff recruited were suitable to work with the people using the service.

Staffing levels were sufficient to provide the level of care required by people.

There was a robust induction programme, which included mandatory training, shadowing and buddying with an experienced worker. Staff demonstrated good understanding of their roles and responsibilities.

The service demonstrated a commitment to staff training, which was on-going and regular refreshers were undertaken. Staff were given positive encouragement to undertake further, more specialised training appropriate to the work.

Supervisions were undertaken regularly and considered important in offering an opportunity for discussion between staff and management about on-going work issues. Professional Development Reviews (PDR) were held annually to ensure learning was reviewed and training needs were met.

Care files were clear and comprehensive and contained relevant health and personal information. They were person-centred and included individuals’ goals, wishes and achievements. The service was flexible and responsive to changing needs, desires and circumstances.

Confidentiality was respected and independence was promoted.

Communication with relatives was on-going throughout the duration of their relative’s involvement with the service. Feedback was regularly sought from families and users of the service.

Comments were encouraged formally and informally and there was a complaints policy in place.

Team meetings were regularly undertaken, giving staff the opportunity to discuss any issues and to share good practice examples.

A number of audits were undertaken.