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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 5 January 2018

This announced inspection took place on 15 and 22 November 2017. This service is a domiciliary care agency. It provides support with personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of our inspection the service was providing support to 70 people.

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 requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff were trained in how to keep people safe and report any concerns of abuse. The likelihood of people experiencing avoidable harm was reduced because the registered manager assessed people's risks and developed plans to alleviate them.

People were involved in the assessment of any risk associated with their care and support. Where risks were identified steps were taken to reduce these. These risk assessments were regularly reviewed and updated to ensure they met people’s changing needs.

Where required the service supported people with their medicines. Staff were trained to support people with their medicines and recorded their actions appropriately.

The service followed appropriate infection control procedures and staff had access to personal protective equipment such as gloves and aprons.

Each person had an individual care plan which was written after an assessment of their needs had been carried out by a senior member of staff. This was reviewed and updated as necessary to ensure it reflected any changes in people’s care needs.

Staff were appropriately trained and supported. They received an induction into the service and ongoing update training.

The service supported some people with their nutrition. Those that were supported were satisfied with how this was done telling us that staff always ensured they left them with a drink.

People were supported to have maximum 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 also supported to be as independent as they were able.

People and their relatives told us that care was delivered in a compassionate manner by staff who knew them well.

There was a formal complaints procedure and people knew how to access this.

The service was well-led with open and transparent leadership. People and staff felt able to approach the management team with any suggestions or concerns.

Quality assurance processes ensured that care was consistently delivered to a good standard

Inspection areas

Safe

Good

Updated 5 January 2018

The service was safe.

Staff were trained in safeguarding procedures and knew how to identify signs of abuse and the procedure for reporting their concerns.

Risks were assessed and actions put in place to mitigate any identified risks.

Staff were trained in medicines administration and supported people to receive their medicines safely.

Staff had access to and used personal protective equipment.

Effective

Good

Updated 5 January 2018

The service was effective.

An assessment of people’s needs and choices was carried out before they began receiving care and support.

Staff received training and support they required to meet people's needs effectively.

Where required, people were supported to maintain a healthy diet.

Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005.

The service worked with other healthcare professionals to provide effective care and support.

Caring

Good

Updated 5 January 2018

The service was caring.

People and care staff had developed positive, supportive relationships.

People were involved in planning their care and support.

Care staff respected people’s privacy and dignity.

Responsive

Good

Updated 5 January 2018

The service was responsive.

Each person had an individual care plan.

Regular reviews of the care plan ensured if reflected people’s changing needs.

The service had a complaints procedure.

Well-led

Good

Updated 5 January 2018

The service was well-led.

People had confidence in the management of the service.

The registered manager was aware of the attitudes and behaviour of staff.

Quality assurance audits were carried out to check the quality of the service.