2 August 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 the last inspection on 29 June and 5 July 2017 we found a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014. This was because audits did not always identify shortfalls. Where shortfalls were identified, action was not taken to ensure fundamental standards were met. The provider wrote to us telling us of the actions they were taking to make improvements. At this inspection we found improvements had been made.
People were kept safe from the risk of harm and abuse. Staff were knowledgeable about the types of abuse and how to report it. Risks were identified and assessed and assessments reviewed regularly. There were sufficient numbers of staff deployed to meet people’s needs. Medicines were administered, stored and managed safely.
Staff were appropriately trained. Care plans were person centred and contained personalised information to support people’s needs. Staff worked together with health and social care professionals to deliver timely health care and promote well-being.
Staff and people had developed respectful and caring relationships. The person-centred ethos of care was shared throughout the staff group. There were quality assurance and audit processes in place, including requests for feedback from people and their relatives about the service.
Care was planned to reflect people’s preferences and abilities. 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.
Further information is in the detailed findings below.