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Support Initiatives Northwest Ltd Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 22 February 2019

About the service:

Support Initiatives North West Ltd is a domiciliary care agency, providing personal care to people in their own homes. The service operates from the registered address based in Southport. At the time of this inspection two people were using the service.

People’s experience of using this service:

Safe Care and Treatment was not always consistently provided. Risk assessments did not always indicate the level of risk that needed to be managed or how to keep the person safe.

People’s level of risk was not always assessed or reviewed.

Quality assurance processes were not always effectively monitoring the provision of care people received. Audit tools and checks were not always identifying areas of improvement that needed to take place.

Recruitment practices had improved since the last inspection, however pre-employment checks needed to be further strengthened.

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.

At the time of the inspection people did not need support with medication administration. However, the registered provider ensured that staff were enrolled on to the appropriate medication administration training and there was also a medication administration policy in place.

People received support from consistent members of staff who were familiar with their support needs. Staff received training to help develop their skills, knowledge and development.

Staff understood and respected people’s right to make their own decisions and supported people to make choices. People were involved in the decisions that needed to be made and consent was gained in line with the principles of the Mental Capacity Act, 2005.

People’s privacy, dignity and independence was promoted. Positive relationships had developed between people who received supported and care from staff. We received positive comments about the quality and safety of care people received.

The registered provider had a complaints policy in place; information about the complaints process was provided to people from the outset.

We received positive feedback about the provision of care that was delivered. People also had the opportunity to share their thoughts, opinions and suggestions and the provision of care they received.

Rating at last inspection: Requires Improvement (The last report was published in January 2017)

Why we inspected: This was a planned comprehensive inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

You can see what action we told provider to take at the end of report

Inspection areas


Requires improvement

Updated 22 February 2019

The service was not always safe

Details are in our Safe findings below.



Updated 22 February 2019

The service was effective

Details are in our Effective findings below.



Updated 22 February 2019

The service was caring

Details are in our Caring findings below.



Updated 22 February 2019

The service was responsive

Details are in our Responsive findings below.


Requires improvement

Updated 22 February 2019

The service was not always well-led

Details are in our Well-Led findings below.