3 October 2018
During a routine inspection
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good.
The registered manager had oversight of the service. They checked that the service met the standards they required and worked to continually improve the support people received.
People were involved in everything that happened at the service. Staff knew people very well and supported them to achieve their goals and become more independent. Staff were kind and caring and treated people with dignity and respect.
Assessments of people’s needs and any risks had been completed. Support had been planned with people and their relatives, to enable them to take managed risks. Staff knew the signs of abuse and were confident to raise any concerns they had with the registered manager. People were not discriminated against and received care tailored to them. People took part in domestic tasks and activities they enjoyed at the service and in the community.
People were supported to remain fit and healthy. Staff supported people to visit health care professionals for check or if they became unwell. People’s medicines were managed safely and people received their medicines in the ways their healthcare professional had prescribed. People were supported to plan and prepare a balanced diet of food they liked and met their cultural needs and preferences.
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. Plans were in place to support people and their relatives to share their wishes and preferences about the care they wanted at the end of their life.
Staff felt supported by the registered manager, they were motivated and enthusiastic about their roles. The registered manager was always available to provide the support and guidance staff needed. Staff worked as a team and supported people in a consistent way. Records in respect of each person were accurate and complete.
There were enough staff to provide the support people needed when they wanted it. Staff were supported to meet people’s needs and had completed the training they needed to fulfil their role. Staff were clear about their roles and responsibilities and worked as a team to meet people’s needs. A safe system was in place to recruit staff. No new staff have been employed since our last inspection.
The service was clean and well maintained. The building had been adapted to meet people’s needs and make them feel comfortable. People used all areas of the building and grounds and were involved in planning the refurbishment.
A process was in place to investigate and resolve any complaints or concerns received.
The registered manager had informed CQC of significant events that had happened at the service, so we could check that appropriate action had been taken.
Services are required to prominently display their CQC performance rating. The provider had displayed the rating in the entrance hall.
Further information is in the detailed findings below.