Archived: Wishes care and support

' Is the service caring?

' Is the service responsive?

' Is the service safe?

' Is the service effective?

' 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 who used the service and the staff who supported them, and from looking at records.

If you want to see the evidence supporting our summary please read the full report.

' Is the service caring?

People who used the service and their relatives completed an annual satisfaction survey. Where suggestions or concerns had been raised the provider had listened and made changes to the service.

People's preferences and diverse needs had been recorded and care and support had been provided in accordance with people's wishes.

' Is the service responsive?

Staff knew the people they cared for and understood their preferences and personal histories.

We saw that people's care needs were kept under review and care plans, risk assessments and support plans were updated periodically.

' Is the service safe?

Systems were in place to make sure that the registered manager and staff learnt from events such as accidents and incidents, complaints, concerns and investigations. This reduced the risks to people and helped to ensure that the service continually improved.

Staff had completed training in how to safeguard vulnerable adults. This meant that people were safeguarded as required.

' Is the service effective?

People's health and care needs were assessed. Specialist dietary, mobility and equipment needs had been identified in people's care plans where required.

' Is the service well led?

The service had quality assurance systems in place and records we looked at showed that identified shortfalls were addressed promptly.

The provider consulted with people about how the service was run and took account of their views.

Staff told us they were clear about their roles and responsibilities. This helped to ensure that people received a good quality service at all times.

What people who used the service and those that matter to them said about the care and support they received.

People who used the service told us, 'They do just what I want them to do; I am still quite independent and like to do things for myself. The carers support me but don't take over, which I am really grateful for' and 'The care is of a very high standard.'

A person told us that the care staff were very nice and were fully aware of their duties. They went on to say, 'I don't know what I would do without them'.

A relative we spoke with told us, 'They are great (the carers), they are all so kind and nothing is too much for them; I have to be honest and say we always look forward to seeing them.'