6 April 2017
During a routine inspection
Taylored Care Limited had a registered manager in place. 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.
The registered manager provided good, firm leadership and was liked and admired by everyone we spoke with, including a healthcare professional. The person, the relative and the staff all knew that they were able to contact the registered manager or the care manager at any time. Their suggestions for improvements to the service were listened to and any concerns were addressed.
People felt safe because they were supported by staff who were well trained and very experienced. Staff demonstrated that they would recognise if people were at risk of harm and they knew how to report their concerns. Any potential risks to people were assessed and managed so that the risks were minimised.
There were enough staff employed to provide the required level of service to each person. Staff recruitment procedures were thorough and ensured that only staff who were suitable to work for this service were employed. People received their medicines safely and as they were prescribed.
Staff received a thorough, individualised induction and a wide range of training and support to ensure they were properly equipped to do their job. People were supported to maintain good health by the involvement of other healthcare professionals and people’s dietary needs were met.
Staff understood the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions. People’s rights were protected from unlawful restriction and unlawful decision making processes by staff who were aware of current information and regulations regarding people’s consent to care.
People received care and support from good, caring staff. People were fully involved in any decisions about their care and were encouraged to be as independent as possible. Continuity of care was provided to each person by a small team of care staff who knew the person well.
Care plans were personalised and gave staff detailed guidance about the care and support each person wanted and the way in which they preferred their care to be delivered by the staff. People were supported to lead an active social life if they wanted to. The provider’s complaints procedure was available in people’s homes.
Audits of all aspects of the service were carried out to ensure that the service provided was of a high quality. Any issues were addressed. Records were maintained as required.