4 February 2019
During a routine inspection
Tender Lasting Care Services provides personal care and support to people in their own homes. Some people who received support were living with complex health needs which required specialist support. At the time of the inspection there were 11 people who used the service.
People’s experience of using this service:
People and their relatives told us that the care being provided was safe.
People were appropriately assessed from the outset, risks were safely managed and people received the correct level of care tailored around their support needs.
Medication management procedures were in place. There was an up to date medication policy staff received appropriate medication training and the registered manager ensured that the competency of staff members to administer medication safely was routinely assessed.
People were protected from the risk of harm and abuse. Staff were supported with training in relation to safeguarding and knew how to report any concerns that presented. There was also an up to date safeguarding and whistleblowing policy for staff to refer to.
All staff received a thorough induction and were able to ‘shadow’ more experienced staff before they began providing support to people. The provider operated safe recruitment practices with appropriate recruitment checks carried out before staff commenced employment.
Staff understood and respected people’s right to make their own decisions and supported people to make choices. People were involved in any decisions that needed to be made and consent was gained in line with the principles of the Mental Capacity Act 2005.
People received support from consistent members of staff who were familiar with their support needs. Staff received specialist training to help develop their skills and knowledge.
Records contained detailed person-centred information about the person. This documentation had been regularly reviewed and updated when people’s needs had changed. Staff were able to give clear examples of the care people required.
People received ‘End of Life’ support in a dignified, respectful and compassionate manner. Staff had received training in end of life care.
People and their relatives told us staff were kind, caring and compassionate. Staff developed positive relationships with the people they were supporting and knew their likes, preferences and wishes.
The registered provider had a complaints process in place; people and their relatives knew how to raise a complaint and were confident that any such concerns would be listened and responded to.
The registered manager was committed to providing high-quality, person-centred care. The quality and safety of the care was continuously reviewed. People and their relatives were encouraged to share their thoughts, opinions and views of the care being delivered and areas of development were identified and followed up on.
Rating at last inspection: At the last inspection service was rated ‘Good’ (report published September 2016)
At this inspection we found that the registered provider continued to provide a good provision of care. The evidence we reviewed and feedback we received continued to support the rating of ‘good’ and there was no evidence or information from our inspection or ongoing monitoring that demonstrated serious risks or concerns.
Why we inspected: This was a planned, announced inspection to confirm that the service remained 'good'.