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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 4 November 2016

We inspected this service on 15 and 16 August 2016. This was an announced inspection and we telephoned the week prior to our inspection in order to arrange home visits and telephone interviews with people. The service provides care in people’s homes to older people and people with debilitating illness and long term conditions such as dementia. The service is available in the South Derbyshire area, with an office based in Long Eaton. At the time of the inspection 86 people were being supported by the service. Our last inspection took place in December 2013 and at that time we found the provider was meeting the regulations.

There was a registered manager in post. 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 company was part of a larger organisation which provided care in the community. The staff told us they felt supported by the manager and they had received ongoing supervision and meetings to support their development. Staff received training in a range of areas to enable them to carry out their role and had been given the opportunity to access further training. New employees received the relevant checks to ensure they were safe to work with people and they were provided with an induction to support their role.

People told us they felt safe and the staff knew how to report any concerns to ensure people were protected from harm. Risk assessments had been completed for the environment and specific needs. The assessments identified guidance and ways to reduce any identified risk.

There were sufficient staff to support people’s needs and people told us they received support from a regular group of staff which they found reassuring. Where people required support with their medicine this was completely safely and in line with the appropriate training and guidance. Healthcare professionals had been contacted when requested to support people’s health and wellbeing.

People were given choices and supported to make decisions. Where they were unable to make some decisions independently these had been made with support of people who the person had chosen and through an assessment to ensure the decision was in the person’s best interest.

Some people required support with their meals. They were given choices on the meal they wished to eat and staff provided guidance for specific dietary need to support the person’s nutritional needs.

People told they had developed relationships with the staff and that they were treated with kindness and compassion. Their dignity was respected in aspects of the care they received. We saw the service was responsive and provided a flexible approach to support people’s care needs and changing situations.

The provider and manager completed a range of audits to maintain the quality of the service or to make improvements. People felt positive about the service and were able to approach the manager if they required any changes to their care needs. Any complaints which had been received had been responded to. People and staff were asked their opinion on the service and we saw that they had been responded to continue to make improvements.

Inspection areas

Safe

Good

Updated 4 November 2016

The service was safe.

People were safe in the service and staff understood how to protect people from harm. Risk assessments had been completed to cover all aspects of care provided and the environment. There were sufficient staff to support people and medicines were administered in line with the policy.

Effective

Good

Updated 4 November 2016

The service was effective

Staff received training and an induction that helped them support people. The principles of the Mental Capacity Act 2005 were followed. People were encouraged to make choices about their food. Support was provided for health professionals when needed.

Caring

Good

Updated 4 November 2016

The service was caring

Staff were kind and caring and treated people respectfully. Staff supported people to maintain their dignity and privacy. People were supported with their preferred way of receiving their care.

Responsive

Good

Updated 4 November 2016

The service was responsive

The service ensured the details of people’s preferences so that they received the care they required and any updated information following a review. The service was flexible to people’s changing needs. The provider responded to any complaints in line with their policy.

Well-led

Good

Updated 4 November 2016

The service was welled.

Staff were supported by the manager and understood their role. The provider had effective systems in place to monitor and improve the quality of the care people received. The manager understood the responsibilities of their registration with us.