6 July 2018
During a routine inspection
At the last inspection on 05 November 2016, the service was rated Good.
At this inspection we found the service remained Good.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People felt safe being supported at the service. Staff were knowledgeable about how to protect people from harm. They had received effective safeguarding training.
There were sufficient numbers of staff deployed to meet people's needs when required. Safe recruitment processes were in place to help ensure that staff were suitable to work in this type of service.
Staff had received training and an ongoing support to help with their development. Staff were positive about the training and support they received.
People were involved in the development and review of their care and how it was provided. People had detailed care plans which clearly documented their individual needs, preferences and choices. Risks to people’s health, safety and wellbeing had been assessed and there were effective risk management plans in place which mitigated risk. All care plans and risk assessments had been regularly reviewed to ensure that they were reflective of people's current needs.
People were supported to make decisions about their care and support. Decisions made on behalf of people were in line with the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Consent was gained from people before any support was provided.
People were supported to access a range of health care professionals to help maintain their health and wellbeing. Care plans detailed people’s support needs in relation to their health. There were effective systems in place for the safe storage and management of medicine and regular audits were completed. People received their medicines as prescribed.
People had positive relationships with staff who supported them. Staff were supportive and respectful. People's privacy and dignity was maintained and respected. Staff knew people's needs and preferences and provided personalised support. People were supported to participate in meaningful activities and hobbies that were of interest to them.
People and staff found the registered manager supportive and approachable and were very positive about how they managed the service. People felt listened to and said that staff were responsive to any concerns they raised. Quality monitoring systems and processes were used effectively to make improvements when required.