31 January 2019
During a routine inspection
People’s experience of using this service: Systems to monitor the quality and safety of the service and drive improvement needed to be more robust. Staff training had not been completed in some areas and new staff’s inductions had been limited. Some staff had not received regular supervisions. Documentation was missing for how the Mental Capacity Act 2005 had been applied for one person who lacked capacity. We have made recommendations in these three areas.
There was a positive culture within the service and people felt the registered manager was approachable. Staff had awareness of safeguarding and knew how to raise concerns. Steps were taken to minimise risk where possible. Staff supported people to manage their medicines safely, although guidance was missing for staff about how to apply one person’s creams. Systems were in place to recruit staff safely.
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. Staff supported people to access healthcare and maintain a nutritious diet.
People and their relatives spoke positively about the staff and the support they received. Staff were kind and promoted people’s independence and treated them with dignity and respect.
People’s care plans were kept up to date and reflected their individual needs and circumstances. People were supported in line with their preferences and supported to access the community, if chosen. The provider had a system in place for responding to people's concerns and complaints.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: This was the service's first planned inspection.
Why we inspected: We inspected this service in line with our inspection schedule.
Follow up: We will continue to monitor this service and inspect in line with our re-inspection schedule or sooner if we receive information of concern.