27 July 2023
During an inspection looking at part of the service
People’s experience of using this service and what we found
People received safe care and support. Staff had detailed guidance of action required to meet people’s care needs and mitigate known risks. Staff had received training in safeguarding and knew how to protect people from abuse and avoidable harm.
People were positive about the competency of staff and felt confident they knew and understood their individual care and support needs. Staff were recruited safely.
Improvements had been made to care calls. There had been no missed calls and late calls were minimal. The management team monitored care calls and care records, to ensure people received care that reflected their assessed needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Medicines were managed and administered safely where required. Staff had received medicines training and had their competency assessed. Care plans provided staff with guidance required to support the safe management of medicines.
Accidents and incidents were recorded, acted upon and analysed for opportunities of learning to reduce reoccurrence.
Infection prevention and control best practice guidance was followed. Staff wore personal protective equipment to reduce the risk of cross contamination and infection.
The provider’s systems and processes that assessed, monitored and reviewed quality and safety had been developed and improved upon. Further improvements were being implemented.
People were positive about the improvements made and spoke highly of the registered manager and management team. People received opportunities to share their experience about the service.
Overall, staff were positive about working for the service. Staff received ongoing training and their competency and performance reviewed. There were communication systems in place to share information with people and staff.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rated inspection for this service was requires improvement (published 29 July 2022). Breaches in regulations relating to safe care and treatment, fit and proper persons employed, and good governance were identified. The provider completed an action plan after the inspection to show what they would do and by when to improve and meet the breaches in regulation related to safe care and treatment and fit and proper persons employed. A Warning Notice was served for the breach relating to governance.
At this inspection, we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.