We met with the manager, looked at peoples care plans and staff recruitment files.
We found that there had been significant improvements in all areas viewed, namely, medication, records and recruitment.
People we spoke with were generally happy with the care and support they received. One person told us, 'We don't get the same staff every day but I am generally happy, no reason not to be really, they are polite, pleasant, and they treat me with dignity and respect'. Another said 'My carer is brilliant she lets me keep my dignity, we have a laugh and she is very understanding'.
The lack of staff continuity was a problem for some people. For example, one person said, 'Changing staff for them meant that they had to keep going over where things were kept and how to use the hoist'.
Medication administration and recording was not compliant at the last inspection and we found it remained non-compliant, although they had taken steps to improve the outcome.
The agency was not operating a robust recruitment procedure, which meant staff were working with vulnerable people without the required checks. This could have left people at risk.
New staff were receiving induction training however, we found that this had not been undertaken by someone trained to so.
Records were found to be non-compliant at the last inspection. We found that they were still non-compliant at this visit. For example, some people's files contained confusing and contradictory information.
People we spoke with told us that they were very pleased with the service they received. They told us that they were able to be involved in planning their care and were kept informed if there were any changes to the service. Their comments included , 'I am very satisfied with the support they give me. I have had no problems with the service'. 'Very happy with the service' 'A caring carer who works hard for me' 'Everyone is very caring. They can be trusted at all times.' "I am satisfied with the service, everything is fine, I do lot's of things with the care staff.'
Staff said they liked working at the service and were given the training and support they needed to perform their roles safely.