10, 12, 13 June 2014
During an inspection looking at part of the service
' Is the service safe?
' Is the service effective?
' Is the service caring?
' Is the service responsive?
' Is the service well-led?
This is a summary of what we found-
Is the service safe?
Staff had received training in safeguarding and felt confident in being able to maintain people's safety.
In house training events had been arranged which included risk assessment and dementia care. This enabled staff to minimise risk and undertake safe care practices.
Is the service effective?
People told us they were happy with the care that had been provided and they felt their needs were being met. We observed the support being provided and saw examples of good communication and interaction between staff and people who used the service.
People told us that staff always read the care plans before carrying out any duties. Staff discussed the individual needs of people they supported. Staff described the support they provided on a day to day basis including daily choices and they were knowledgeable about people's needs and requests.
People's relatives told us that the service was effective and met all assessed needs.
Is the service caring?
We observed staff interacting well with people who used the service. Staff were friendly and helpful to the people they were supporting. We observed that people being supported were relaxed and happy in the company of their staff.
Comments received were all positive and included, "staff are very good and help me a lot", "staff assist me with all my personal care and never let me down", "the staff provide very good care" and "they usually turn up on time but if they have been delayed they always ring me to let me know they will be a bit late".
Is the service responsive?
People who used the service had a detailed care plan in place to help to show how their needs would be met. These records were detailed and showed that people's choices and diverse needs were identified and care plans were regularly reviewed. The people we spoke with who used the service appeared to be happy and relaxed with their care. Those who were able to discuss arrangements made for their care told us that they were happy and content with the manner in which their care and support was provided. Feedback from people's relatives also confirmed that people were pleased with the services provided. One relative told us that in the past the staff were not very reliable but now things had changed very much for the better.
Is the service well-led?
People who used the service and their relatives told us they were always kept informed and updated regarding all support and care needs and discussions, spot checks and reviews were in place to see if any changes were needed.