We carried out an inspection of Hendre Care. We looked at records at the provider's office location and also visited people that lived at one of the three twenty-four hour supported living homes. This was with the permission of the people that lived there.
We looked at information to help us gather evidence about the quality of the provider's care and support to people that lived there. On the day of our inspection, the provider told us that eight people received care and support.
We spoke with the manager and with staff on duty. We also spoke with two people that used the service and spoke with four relatives. Our conversations with people helped us to answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? and, Is the service well led?
Below is a summary of what we found. The summary is based on our findings during the inspection, speaking with people and their relatives about the service, staff members supporting people and from looking at records.
The detailed evidence supporting our summary can be read in our full report.
Is the service safe?
We asked two people that used the service if they felt safe with staff supporting them. They smiled at us and nodded. All of the relatives spoken with told us that they felt that their family member was safe receiving a service from the provider. One relative told us, 'I am one hundred per cent happy.'
There was a system in place to record accidents and incidents. Staff spoken with showed that they were aware of the reporting system. We saw that 14 accidents and incidents were recorded for January to March 2014. We saw that the provider had taken appropriate action to reduce the risk of them re-occurring.
There was a system in place to handle concerns and complaints. The provider told us that one complaint had been received since our last inspection in December 2013.
The registered manager told us that no new staff had commenced employment with them since our last inspection. We sampled some staff files and found that they all contained the required pre-employment checks. This meant that the provider ensured that people employed were suitable to work with vulnerable adults.
As part of our inspection we asked the provider about how they implemented the Mental Capacity Act 2005. They told us that they made the appropriate referrals for people when needed. We saw documented evidence that mental capacity assessments had been completed and 'best interest' meetings had taken place for people when needed. This meant that the provider was aware of their responsibilities under the Mental Capacity Act.
Is the service effective?
We saw that the provider's Statement of Purpose had been reviewed and updated in January 2014.
We saw that people were supported to take part in individual activities that were planned for. We observed people taking part in meaningful activities when we visited two people in their home.
Is the service caring?
One person we spoke with told us that they thought staff were, 'Kind.' One relative told us, 'Staff are excellent.' Another relative told us, 'I am happy with my family member's care and feel that staff are professional.'
People that used the service and their relatives were asked for feedback about the quality of the service provided so that improvements could be made where needed.
Is the service responsive?
Most relatives spoken with told us they had no concerns or complaints. One relative told us, 'I find the manager approachable. If I had any concerns I would speak with them.'
Care records showed that that the provider responded to people's changed needs and worked with other healthcare professionals as needed.
Is the service well led?
We saw documented evidence that showed that the provider worked with other
health care professionals and made referrals for advice and guidance when needed.
The service had a quality assurance system. Records looked at such as spot checks on staff showed that audits took place and were effective.