20 April 2016
During a routine inspection
The service provides care and support, including personal care to adults living in their own homes. The service currently provides ‘long-term’ care to people, for example to people who require 24 hour care or support at night. At present, out of the 12 people receiving support, six are in receipt of personal care.
There was a registered manager at the service at the time of our inspection. 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.
Systems were in place to ensure people were safe. Staff had undertaken training in safeguarding adults and were aware of what action to take if any concerns became apparent. Risk assessments were in place and detailed in accordance to people’s personalised needs. Staff were aware of what to do if people’s needs changed and how to update risk assessments. Accidents are incidents were reported in accordance with the corresponding policy. There were sufficient levels of staffing and efficient cover arrangements in place and people’s medicines were managed safely and audited on a regular basis.
Care staff received relevant training to their role as well as a robust induction programme and we saw records of safe recruitment. Relevant checks had been carried out before staff commenced employment.
Staff received regular supervision to support them in their role. The coordinator for the service and registered manager supported staff so they were effective in their role to care for people and deliver a high standard of care.
People had access to health care services in order to meet their needs and records reflected this.
Care plans were person centred and detailed. People were involved in their care planning and decision making. Staff knew people well and were aware of their personal histories and understood their likes and dislikes. Caring and positive relationships were developed with people using the service and their carers.
The registered manager for the service had a good relationship with staff and the people using the service. There was open communications between all parties and people regularly provided feedback. The service had quality assurance methods in place.