22 August 2018
During a routine inspection
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.