7 December 2015
During a routine inspection
The service provides care and domiciliary support for older people and people with a learning disability who live in their own home in and around Burton upon Trent.
There was a registered manager in the service. 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’s consent was sought before staff provided care and support. However, some people did not have capacity to make certain decisions. It was not clear how some decisions had been made and whether people had the necessary authorisations to make decisions on behalf of others. You can see what action we told the provider to take at the back of the full version of the report.
People and their relatives felt safe when they received care. Risk assessments identified action to be taken to minimise the chance of harm occurring to people and staff understood this. People knew how to report concerns and staff knew how to keep people safe and supported people to understand risks. Checks were carried out prior to staff starting work to ensure their suitability to work with people.
People received an agreed level of staff support at a time they wanted it. People were happy with how the staff supported them. People had a regular team of staff who had the skills to meet their needs. People knew who was providing their support in advance and the provider was flexible and responsive to changes in people’s needs. People received their medicine and were supported to apply any cream they needed.
People chose how support was provided and they were involved in the review of their care. There were systems in place to monitor the quality of the service and plan on-going improvements. Staff knew people well and supported them to manage their health care.
People were positive about the way staff treated them and staff were kind and compassionate. Staff listened to people’s views and people knew how to make a complaint or raise concerns.
The provider had systems in place to assess and monitor the quality of care and encouraged people and their relatives to give their feedback and used this to drive improvements.