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Inspection Summary


Overall summary & rating

Good

Updated 11 December 2018

We carried out an announced inspection of Trading Office on 14 and 19 November 2018. This service provides care and support to people living in a supported living setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. This was the first inspection of the service since they registered with the Care Quality Commission (CQC).

The service had a registered manager. 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 legal requirements in the Health and Social Care Act 2008 and the associated regulations on how the service is managed.

The service was safe. Risks had been identified. Information and processes were in place on how to mitigate risks to ensure people received safe care. Staff were aware of how to identify abuse and knew who to report abuse to, both within and outside the organisation. Medicines were managed safely and people had been receiving their prescribed medicines. Staff told us they had time to provide person centred care and had enough staff to support people. There were systems in place to reduce the risk and spread of infection. Staff had been trained on infection control and knew how to ensure risks of infection were minimised when supporting people. Pre-employment checks had been carried out to make sure staff were suitable to care for people safely.

The service was effective. Staff had received training required to perform their roles effectively. People were cared for by staff who felt supported. Staff had received regular supervisions and told us that they were supported in their role. Staff knew the principles of the Mental Capacity Act 2005 (MCA) and requested people’s consent prior to supporting them. People’s care and support needs were assessed regularly for effective outcomes. The service worked with health professionals to ensure people were in the best of health.

The service was caring. People had a positive relationship with staff. People told us that staff were caring and their privacy and dignity were respected by staff. People were involved with making decisions about their care.

The service was responsive. Care plans were person centred and detailed people’s preferences, interests, communication ability and support needs. People knew how to make complaints and staff were aware of how to manage complaints.

The service was well-led. Regular audits were being carried out. Staff told us the service was well-led. People’s and staff feedback was sought through meetings and surveys.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 11 December 2018

The service was safe.

Risk assessments had been completed and information put in place to minimise identified risks to ensure people were safe at all times.

Staffing levels were appropriate.

Staff were aware of safeguarding procedures and knew how to identify and report abuse.

A full pre-employment check had been carried to ensure staff were of good character and suitable to work with people.

Medicines were managed safely.

There were systems in place to reduce the risk and spread of infection.

Effective

Good

Updated 11 December 2018

The service was effective.

People’s needs and choices were assessed to achieve effective outcomes.

Staff had the knowledge, training and skills to care for people effectively.

Staff felt supported in their role.

The registered manager and staff were aware of the principles of the MCA. Staff asked for people’s consent before carrying out tasks.

People had access to a range of healthcare services.

Caring

Good

Updated 11 December 2018

The service was caring.

People had a positive relationship with staff.

People’s privacy and dignity was respected.

People were involved in decisions about the care and support they received.

Responsive

Good

Updated 11 December 2018

The service was responsive.

Care plans were person centred and included information on how to support people.

Staff had a good understanding of people’s needs and preferences.

Complaints were investigated and action taken when needed.

Well-led

Good

Updated 11 December 2018

The service was well-led.

Systems were in place for quality assurance.

Staff told us the service was well-led and were positive about the management.

Feedback were sought from people and staff through meetings and surveys.