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A.M.D Care Good Also known as High Laver Hall

Inspection Summary

Overall summary & rating


Updated 23 November 2018

This was the first inspection of this service since it was registered with the Care Quality Commission (CQC) on 12 January 2017. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older people. At the time of this inspection the service was providing support to 14 people.

This inspection started on 22 August 2018 and ended on 12 November 2018. The service had changed location during the inspection process so the report was delayed until this process had been completed.

A manager was in post that had completed an application to register. During the process of the inspection the manager was registered. 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.

People were cared for safely and staff understood their responsibilities to safeguard people. Risk assessments and care plans contained enough information for care workers to mitigate known risks and provide safe care. There were sufficient knowledgeable and skilled staff so people had enough staff to support them at the times they needed. Staff were knowledgeable about people's care needs. The provider acted to ensure staff were suitable to work with people before they provided care. People's medicines were managed safely. Staff took adequate precautions to reduce the spread of infection and keep people safe from harm.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice People were supported to have sufficient amounts to eat and drink. Staff had received an induction essential training, supervision and appraisal.

People and their relatives told us staff were kind and caring. Staff developed positive and supportive relationships with people based on equality and respect.

The service involved people and their representatives in discussions about their care so they received care that met their own specific needs. Care plans were in place to reflect how people would like to receive their care and support, and these covered all aspects of a person's individual needs, preferences and choice.

The service was well-led. Everyone we spoke with was positive about the way the service was managed. The provider promoted an open and inclusive culture within the service, and staff had clear guidance on the standards of care expected of them. The provider had systems to monitor the quality of the service provided and ensured people received safe and effective care. This included seeking and responding to feedback from people to inform the standard of care.

Inspection areas



Updated 23 November 2018

The service was safe.

The provider had an appropriate safeguarding policy and procedures in place and staff had a good understanding of their responsibilities.

There were enough staff to meet people's needs and effective recruitment procedures ensured people were only supported by staff that had been deemed suitable and safe to work with them.

Risks to people's safety were managed appropriately.

Systems were in place so medicines were administered safely.



Updated 23 November 2018

The service was effective.

Staff clearly knew people's care needs and had the knowledge and skills to meet these needs.

The principals of the Mental Capacity Act 2005 were understood and staff received training about this.



Updated 23 November 2018

The service was caring.

People gave good feedback about their care workers and we found staff had developed good relationships with them and their families.

People or their relatives were fully involved in making decisions about their care and staff took account of their individual needs and preferences.



Updated 23 November 2018

The service was responsive.

The provider had an appropriate complaints procedure in place.

Care plans were regularly reviewed to ensure they reflected people's changing needs and wishes



Updated 23 November 2018

The service was well-led.

People were very happy with the management of the service.

A range of quality assurance processes such as surveys, audits, accidents and incidents and spot checks had been used continuously to drive improvement.