You are here

Inspection Summary


Overall summary & rating

Good

Updated 15 December 2018

This inspection took place on 21 November and was unannounced. At the previous inspection of this service in October 2017 we found four breaches of regulations. This was because medicines were not managed safely, staff had not undertaken training required for their role, poor practices were in place in relation to staff recruitment and the provider had not established effective systems for monitoring the quality and safety of the service. Overall, we rated the service as Requires Improvement. During this inspection, we found all those issues had been addressed and we have rated the service as Good.

This service is a domiciliary care agency. It provides personal care to people living in their own homes. It is registered to provide a service to older adults, younger adults, people living with dementia, people with learning disabilities or on the autistic spectrum and people with mental health needs. Five people were using the service at the time of our inspection.

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.

Appropriate safeguarding procedures were in place and people told us they felt safe using the service. Risk assessments provided information about how to support people in a safe manner. There were enough staff working at the service to meet people's needs and robust staff recruitment procedures were in place. Staff had a good understanding about infection control issues and used protective clothing to help prevent the spread of infection. Although the service did not support anyone with medicines at the time of our inspection, systems were in place to do this in a safe manner if required. People were provided with support to take their medicines in a safe way.

The service carried out an assessment of people’s needs prior to the provision of care. This enabled the service to determine of it was a suitable care provider for everyone. Staff undertook an induction training programme on commencing work at the service and had access to regular on-going training and supervision to help them develop relevant skills and knowledge. The service operated within the principles of the Mental Capacity Act 2005. The service supported people to access health care professionals and staff were aware of what to do if a person faced a medical emergency.

People were supported by the same regular care staff so they were able to build good relationships. People were treated in a caring and respectful manner by staff and were supported to maintain their independence. The right to confidentiality was taken seriously by the service and staff understood the importance of this.

Care plans were in place which set out how to meet people’s individual needs and these were subject to review. The service worked closely with other agencies to meet people’s needs in relation to end of life care. The service had a complaints procedure in place and people knew how to make a complaint.

People and staff spoke positively about the registered manager. Systems were in place for monitoring the quality of support provided at the service. Some of these included seeking the views of people who used the service.

Inspection areas

Safe

Good

Updated 15 December 2018

The service was safe. Appropriate safeguarding procedures were in place and staff understood their responsibility for reporting any safeguarding allegations.

Risk assessments were in place which provided information about how to support people in a safe manner.

The service had enough staff to support people in a safe way and robust staff recruitment procedures were in place.

Systems were in place to reduce the risk of the spread of infection. Medicines were managed safely.

Effective

Good

Updated 15 December 2018

The service was effective. People's needs were assessed prior to the provision of care to determine if the service was able to meet the person's needs.

Staff undertook regular training to support them in their role and undertook an induction programme on commencing working at the service. Staff received regular one to one supervision.

People were able to make choices about their care and the service operated in line with the Mental Capacity Act 2005.

The service supported people to access relevant heath care services.

Caring

Good

Updated 15 December 2018

The service was caring. Staff had a good understanding of how to promote people's dignity, privacy and independence.

People told us they were treated with respect by staff and that staff were friendly and caring.

Systems had been established to ensure confidentiality was maintained.

Responsive

Good

Updated 15 December 2018

The service was responsive. Care plans were in place which set out how to meet people�s needs in a personalised manner. Care plans were subject to regular review.

Staff had a good understanding of people�s individual needs and how to support them.

The service had a complaints procedure in place and complaints were dealt with appropriately in line with the procedure.

Well-led

Good

Updated 15 December 2018

The service was well-led. People and staff told us they found senior staff to be supportive and helpful. There was a registered manager in place.

Systems were in place for monitoring the quality of care and support at the service. Some of these included seeking the views people using the service.