Aspirations Support Bristol

Updated 28 September 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. Explain whether this was a comprehensive or focused inspection:

This inspection took place on 8 September 2017 and was announced.

The provider was given 48 hours’ notice because the location provides a domiciliary care service we needed to be sure that someone would be in

The inspection was undertaken by one inspector.

Before the inspection, we reviewed all the information we held about the service. This included any statutory notifications that had been sent to us and information from the local authority. A notification is information about important events, which the provider is required to tell us about by law.

We visited one person in their home spoke with one care staff and observed people's care being delivered. We visited the provider’s office and spoke with the deputy manager, two team leaders, the director of care services and the training manager. We reviewed the care records of two people who used the service. We looked at three staff recruitment files, supervision and training records, audits, policies and records relating to the management of the service .This included policies relating to safeguarding, medicines, complaints and quality assurance.

Before and after the inspection visit we made a phone call to one relative of a person who used the service and to get their feedback about what it was like to receive care from the staff. We also spoke with five staff members. We also received feedback from two health and social care professionals about their views of the service after the inspection.

Updated 28 September 2017

The inspection took place on 8 September 2017 and was announced. The provider was given 48 hour notice because the location provides a domiciliary care service and we needed to be sure that someone would be in the office.

Aspirations Support is registered to provide a personal care service to people living in their own homes. There were four people receiving support with personal care.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

At this inspection it remained Good.

Why the service is rated good

At the last inspection, the service was rated Good. During this inspection we found the service remained Good. The service remained good because risks to people were assessed with appropriate plans in place to keep them safe. Where incidents occurred, actions were taken to prevent them from reoccurring. People’s medicines were administered safely by trained staff. Staff understood their role in safeguarding people from abuse. The provider carried out appropriate checks to ensure staff were of good character. Staff were deployed in a way that meant people’s needs could be met safely. Call times were monitored to check that staff arrived and left their care visits so that people were safely supported with their care at the right time.

People were supported by staff who had received sufficient training and were supported with their on-going learning and development needs to carry out their roles. Staff worked in accordance with the Mental Capacity Act 2005, this meant that people’s legal rights were protected. People's consent was sought before care was carried out and their decisions about this were adhered to. People were supported to prepare food in line with their dietary requirements and preferences. Staff worked alongside healthcare professionals to meet people’s needs.

People were supported with kindness and compassion by staff that knew them well. People were involved in their care and their independence was encouraged. Staff were respectful and promoted people’s privacy and dignity.

Care plans were person centred and reflected people’s individual personalities and interests. People had access to a range of activities that they enjoyed. People were supported to complain if they wished to. Any complaints were responded to appropriately.

Measures were in place to involve people and staff in the running of the service. Regular checks were carried out in people's homes to make certain staff were following the correct procedures to monitor the quality of the care that people received. The provider kept up to date records that were easy to access.