20 June 2017
During a routine inspection
The service is registered to provide personal care to people in their own homes. people received support lived in the East Riding of Yorkshire. On the day of our inspection there were 41 people using the service.
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.
Staff understood their responsibilities to keep people safe from harm and protect them from abuse. The provider had relevant policies and procedures in place to advise staff and issues were raised with the local authority if necessary, which helped to protect people.
The provider had robust recruitment procedures in place. Checks were completed that helped to prevent unsuitable people from working with vulnerable adults.
People’s needs were met by sufficient numbers of skilled staff. People received care and support from all the staff who worked at the service, which meant people had their needs met by staff who knew them.
Where people had been assessed as requiring assistance with their medicines, these were administered safely in line with their prescription. Staff followed the services policies and procedures in relation to this.
New staff shadowed experienced staff until they were competent in their role. Spot checks and observations were completed to develop the staff skills and to make sure people received effective support. Training in all relevant areas was provided for staff.
Staff received supervision and appraisal. This allowed staff and the management team to discuss any training or performance issues.
Care workers understood the requirements of The Mental Capacity Act 2005 (MCA). Staff worked within the principles of the MCA and supported people to make their own decisions.
People were supported to eat and drink to help maintain their nutritional intake.
People’s privacy and dignity was maintained. People’s care records were monitored and reviewed. Changes in people’s needs were reported to the relevant health care professionals to help protect people’s health and wellbeing.
The provider had policies and procedures in place regarding complaints and issues raised were dealt with.
Staff understood the management system in place and understood their roles and responsibilities.
There was an ‘on call’ system outside of office hours. This allowed people, their relatives or staff to gain help and advice, at any time.
Quality assurance checks were in place to help provide a consistent service and identify any areas for improvement. People’s views were sought about the service and people we spoke with told us they were happy with the service they received.