22 May 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 on going 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.
People received safe care. We found that staff had been recruited safely. The staff we spoke with were aware of how to safeguard adults at risk. There were safe processes and practices in place for the management and administration of medicines.
People supported and their relatives told us staff visited them on time and stayed as long as they should. They were happy with the staff who supported them and told us they were supported by staff they knew.
Staff received an effective induction and appropriate training. People supported and their relatives felt that staff had the knowledge and skills to meet people’s needs.
People received appropriate support with eating, drinking and their healthcare needs. Referrals were made to community health and social care professionals when appropriate, to meet people’s needs and manage their risks.
People told us staff respected their right to privacy and dignity. They told us staff took their time when providing support and encouraged them to be as independent as possible.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way; the policies and systems at the service supported this practice. Where people lacked the capacity to make decisions about their care, the service had taken appropriate action in line with the Mental Capacity Act 2005.
We saw evidence that people received care that reflected their needs, risks and preferences. People told us they had been involved in discussions about their care and we found that where appropriate, their relatives or representatives had been consulted.
People being supported and their relatives told us they were happy with how the service was being managed. They found the manager and staff approachable and helpful.
The manager sought regular feedback from people being supported and their relatives and we noted that a high level of satisfaction had been expressed about all areas of the service.
Audits and checks of the service were completed regularly. We found the checks completed were effective in ensuring that appropriate levels of quality and safety were maintained at the service.
Further information is in the detailed findings below.