15 February 2019
During a routine inspection
People’s experience of using this service: People said staff were kind, caring and spent time talking with people. Staff treated people with respect and dignity. People were involved in decisions about their care and encouraged by staff to be as independent as possible.
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 supported safely and protected from harm. There were systems in place to reduce the risk of abuse and to assess and monitor potential risks to people. Environmental checks were carried out to ensure people remained safe in their homes. Staff used personal protective equipment to prevent against cross infection.
Incidents and accidents were managed effectively; lessons learned were shared with staff to reduce the risk of further occurrences. Risk assessments had been completed, provided detailed guidance for staff to follow and were reviewed regularly.
The management of medicines was safe and people said they received their medicines as prescribed. Robust auditing of medicines meant medication errors were prevented or immediate actions taken to prevent future occurrences.
There were enough skilled and experienced staff to meet the needs of people who used the service. Recruitment checks were robust and new staff completed a comprehensive induction and training programme.
Initial assessments were carried out to ensure people’s needs could be met. Biographies of people’s life had been created which helped staff understand people’s daily routines. Care plans followed and detailed people’s likes, dislikes and preferences and people told us they were offered choices about their care.
People’s preferences and wishes for end of life care had been recorded in their care plans.
Staff supported people with their food and fluid intake and were trained to support people with specific dietary needs. People were supported to live a healthy life and staff supported people to access health care professionals when required. The provider employed a wellbeing nurse to support people in their own homes to prevent hospital admissions.
Complaints were managed effectively in line with the providers policy and actions were taken to address concerns.
Quality assurance systems were in place to monitor the quality and safety of the care provided. The provider worked in partnership with other services to support people’s care and quality of life. Surveys were carried out with people, staff and stakeholders to gather their views.
Values had been embedded within the service which staff followed. The management team were open, honest and supportive of their staff.
More information is in the full report below.
Rating at last inspection: This was the providers first inspection.
Why we inspected: This was the providers first inspection after they registered with the Care Quality Commission (CQC) on 26 March 2018.
Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good. If any concerning information is received we may inspect sooner.