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Able Living Care Services Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 1 December 2016

The inspection was announced and took place on 11, 12 and 19 October 2016.

The service had not been inspected previously.

Able Living Services provides care and support to people aged 18 and over, older people, people living with dementia and people with physical disabilities in their own homes. The agency operates from premises in the village of Poynton.

Able Living Services has a registered manager in post, who also provided personal care to people. 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. This inspection focussed on the domiciliary care provided by Able Living Services. This service currently provides personal care and support for fourteen people within their own homes. At the time of the inspection the service offered support to 35 people, however only fourteen people received care and support which involved an activity the provider was registered for with the Care Quality Commission.

The people who used the service and their relatives told us that they were treated with respect and kindness by the staff. Comments included, “They respect my wishes and commands. They do things exactly as I like. They notice little things” and “They are really lovely, they are interested in me, not just in and out and they remember facts about me”. People told us that the staff were always on time.

There were sufficient staff to complete the visits scheduled for each person and the manager did not accept any additional visits if she did not have the staff in place to complete these. Travel time was factored into staff schedules and they had sufficient time to move between visits. Visit times were recorded in the daily records and these were checked each week by the senior carer and people knew to contact the office with any problems. No concerns had been made to the provider about missed calls.

Arrangements were in place to protect people from the risk of abuse. We spoke to staff about their understanding of safeguarding and they knew what to do if they suspected that someone was at risk of abuse or they saw signs of abuse. People using the service reported that they felt safe and their relatives told us that they were confident that their relatives were safe and supported by the staff of Able Living Care Services.

We looked at recruitment files for the most recently appointed staff members to check that effective recruitment procedures had been completed. We found that appropriate checks had been made to ensure that they were suitable to work with vulnerable adults.

The care files that we looked at contained the detailed relevant information that staff needed to care for the person including their preferences. It was clear through discussions with staff that they knew the people they were supporting very well. It was a small organisation which meant that people generally were supported by a consistent team of carers that enabled them to build up positive relationships.

Discussions with staff members identified that they felt happy and supported in their roles. They told us that the registered manager was supportive and they felt that they could contact her and approach her at any time.

The service had a quality assurance system in place which used various checks and audit tools such as audits and spot checks to monitor and review the practices within the service. The manager also sought feedback from the people who used the service. The registered manager was passionate about the service and constantly looking at different ways in which systems and processes could be improved.

Inspection areas

Safe

Good

Updated 1 December 2016

The service was safe.

Staff were aware of their responsibilities to protect people from this risk of abuse. People using the service and their relatives told us that they felt safe and secure when staff visited them in their own home.

Medication was well managed and the medication charts that we viewed were detailed and clear.

Recruitment records demonstrated there were systems in place to help ensure staff employed at the home were suitable to work with vulnerable people.

Effective

Good

Updated 1 December 2016

The service was effective.

People told us that they felt well cared for and they had no concerns about staff knowledge and skills.

Records showed that staff had received induction when they began working for the service and they were able to access support and training to build upon their knowledge and skills.

Detailed daily records were kept that monitored any changes to people’s health and wellbeing and there was good communication between staff and the manager to ensure that any changes were noted and relevant action taken.

Caring

Good

Updated 1 December 2016

The service was caring.

The people that were using the service and their relatives told us that the staff were kind and caring.

People received continuity of care from a small team of dedicated staff who knew them, their needs and preferences well. This had helped staff and the people who used the service to develop positive working relationships so people received care and support in a manner that suited them.

Responsive

Good

Updated 1 December 2016

The service was responsive.

Care plans were person centred and provided detailed guidance for staff to be able to support people in their care to meet their individual needs. The care plans were updated on a regular basis so staff would know what changes if any had been made.

The provider had a complaints policy and processes were in place to record any complaints received and everyone we spoke to knew how to complain.

Well-led

Good

Updated 1 December 2016

The service was well-led.

The manager talked with people who used the service and their relatives on a regular basis to gain their opinion of staff and the services that were provided. Spot checks and regular visits were carried out to people to ensure that they were happy with the service they received.

The provider had a quality assurance system in place which used various checks and audit tools to monitor and review practices within the service. This included the use of quality checks and reviews of care plans.