18 July 2017
During a routine inspection
We inspected this service on 18 July 2017. This was an announced inspection and we telephoned the week prior to our inspection in order to ensure staff would be available and to arrange home visits.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 Buxton area. At the time of the inspection 50 people were being supported by the service. This was their services first inspection.
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 manager works across two sites. The other site is registered separately and receives its own inspection independently.
The provider had not completed audits to reflect the service improvements or to drive safety aspects relating to risks. Staff enjoyed working for the service, however would have liked some additional support for their role. Care plans had not always been updated to reflect people’s needs.
Where people had not got capacity to make decisions about their own care an assessment had not been completed to reflect how important decisions had been made.
People felt safe when being supported by staff and that staff knew how to protect people if they suspected they were at risk of abuse or harm. Recruitment checks were made to confirm staff were of good character to work with people and sufficient staff were available to meet people's support needs. Risks to people had been identified and staff understood how to support people to reduce risk. When required specific risk assessments had been completed in relation to equipment or supporting people in the community.
Staff had received updated information about people’s needs so they could provide the care that was required. People felt comfortable with staff and had developed relationships with them which were positive. The staff team that people received was consistent and provided flexibility if changes were required. When required staff had supported people with their meal choices to ensure their nutritional needs had been met. Other people received support with their medicines or the application of creams, this was done safety and in accordance with guidance.
People were positive about the way staff treated them and said staff were kind and compassionate. People felt comfortable raising any issues or concerns and there were arrangements in place to deal with people's complaints.
We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.You can see what action we told the provider to take at the back of the full version of the report.