9 June 2014
During an inspection in response to concerns
We considered the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask;
' 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?
People using the service confirmed they were happy with the service and were being cared for safely, and one person said 'I feel perfectly safe, I know the staff are there if I need help.' Risks had been assessed and reviewed regularly to ensure people's individual needs were being met safely. Safeguarding and whistle blowing procedures were in place and staff knew to report any concerns to the manager. Work was needed to ensure all staff were aware of the external agencies to contact if they wanted to escalate their concerns, and the manager said it would be addressed. Safe recruitment practices were in place and were being followed.
Is the service effective?
People and their representatives had been involved with the development of the care records, so they could express their views and have these included. Care records reflected people's individual needs, preferences and choices and staff were able to demonstrate an understanding of these. People had access to healthcare professionals to meet their needs. People confirmed they could make choices about daily routines and meals, were happy with the care they received and were treated with respect. One person said 'all the girls have been absolutely brilliant.'
Is the service caring?
Staff treated people in a gentle and respectful manner when supporting and assisting them with their needs and people's privacy and dignity were respected. Comments we received from people included 'I'd have to go a long way to beat my carers. They are very patient with me and listen and try and help me' and 'they do the best they possibly can.'
Is the service responsive?
People's care records had been reviewed regularly so any changes to their care were identified and included. Satisfaction surveys were carried out annually and an action plan drawn up to address any issues identified. People and their relatives said they were confident to raise any concerns and were listened to. Regular meetings took place for people using the service and they were encouraged to make suggestions for activities. Meetings were held for relatives, however attendance was low. The manager had an 'open door' policy and encouraged people and visitors to discuss any issues so they could be addressed.
Is the service well-led?
The manager had been in post for several years and was registered with CQC. Staff said they were well supported by the manager who also ensured they undertook training to keep their knowledge and skills up to date. Systems to monitor the quality of the service were in place and where shortfalls were identified action plans were developed to address them.