14 June 2018
During a routine inspection
At our last inspection the service was rated as Good; on this inspection we found the service remained Good. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
The service had a registered manager in place at the time of our inspection. 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.
At our last inspection we rated the outcome for safe as Requires Improvement due to some recruitment files not containing all required references. At this inspection we found that this had quickly been addressed and recruitment files contained the required pre employment checks, meeting current requirements.
People received safe care. Risks to people’s health and wellbeing were assessed before any support was provided. This was regularly reviewed to ensure people continued to be assisted in a safe manner.
The staff understood how to protect people from harm and how to report such any concerns. Some people received assistance with taking medicines and records were kept to ensure that this was undertaken safely and in line with current procedures.
There were safe recruitment procedures in place to ensure new staff were suitable to work with people.
Staff were supported and trained to ensure that they had the skills to support people effectively. When people needed assistance to eat and drink, the provider ensured that this was undertaken in the way the person preferred. People were able to make decisions about how they received their support and care. This ensured their health needs were met in personalised way.
The quality of care and support people received remained good. Care was planned and reviewed with people. The provider ensured that people’s choices were followed and clearly recorded on their support plan. People’s privacy and dignity was respected by the staff supporting them. People felt comfortable with the staff they knew and satisfied with the support they received.
The service remained responsive. The support plans reflected people’s individual needs and preferences. Clear descriptions of how people wished to be supported were set out in support plans, and this was reviewed.
People felt comfortable raising any issues or concerns directly with staff and there were arrangements in place to deal with any complaints. Information was being reviewed to ensure it this was accessible to all people who used the service.
The service remained well led. Staff felt supported by the registered manager. Regular quality checks were completed and people could comment on the quality of service provision. People and staff were encouraged to raise any views about the service to consider how improvements could be made should this be needed.