We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask;' Is the service safe?
' Is the service effective?
' Is the service caring?
' Is the service responsive?
' Is the service well led?
Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, their relatives, the staff supporting them and from looking at records.
If you want to see the evidence supporting our summary please read the full report.
Is the service safe?
The provider had developed policies and procedures on recruitment and selection to provide information on the procedures for recruiting new employees.
We looked at three staff files to check that effective recruitment procedures had been completed. We found that the appropriate checks had been made to ensure that they were suitable to work with vulnerable adults.
We looked at the training records for staff working for the agency which revealed that staff had access to a range of mandatory, national vocational qualifications and other more specialised training relevant to the needs of the people they supported.
Staff told us that they had regular training on the computer system and felt this was very good.
Staff said they felt supported in their roles and that the manager and senior staff were always on hand.
Staff files held details to confirm that training and supervision sessions were carried out as an ongoing process. (Supervision is regular meetings between an employee and their line manager to discuss any issues that may affect the staff member. This would include a discussion of training needs).
Is the service effective?
We spoke with people who used the service and they told us their needs were being met and they were confident in the care they received from staff. People also said that they had been visited by the manager or a senior staff member of the agency to discuss their needs prior to using the service and confirmed staffing was reliable and consistent.
People told us that they were very happy with the care and support they received and said their individual needs were catered for.
Is the service caring?
Comments such as 'I am very happy with the carers they are all great,' and ' Staff are brilliant with my family member, all the staff are polite and I think the service is fantastic.' were made. One person said ' the staff are very good it is a pleasure to have them in the house.'
Another person said " The girls are that good I treat them like my own daughters."
Is the service responsive?
The manager told us the agency used various quality assurance systems to assess the quality of the service it was providing to people using a variety of methods. These included: telephone calls, face to face visits, service reviews, client survey forms and random spot checks.
Staff spoken with said that during reviews of care, people who used the service were asked what they thought about the way the care was delivered. They were also asked if they wanted anything to be changed.
People we spoke with said that the manager or a senior staff member rang them or visited to make sure everything was going well.
Is the service well led?
The provider has worked well with the Care Quality Commission and was aware of the need to keep us updated on any significant events via statutory notifications.
The service continued to utilise a comprehensive internal quality assurance system and had developed systems to involve and obtain feedback from people using the service and / or their representatives