31 October 2016
During a routine inspection
This inspection took place on 31 October 2016. The service provides a service to people in the Amber Valley and Erewash areas.
The provider was given 48 hours' notice because the location provides a domiciliary care service and we wanted to make sure the registered manager was available. In addition we also made phone calls to people using the service at the time of our inspection visit on 3 and 4 November 2016.
There was a registered manager at 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.
The service was following the guidance in people’s risk assessments and care plans and the risk of unsafe care was reduced. People’s records were up to date and indicated that care was being provided as detailed in people’s assessments. The records had been updated to reflect changes in people’s care needs.
People were safeguarded from abuse because the provider had relevant guidance in place and staff were knowledgeable about the reporting procedure.
Staff understood their roles and responsibilities for people's care and safety needs and for reporting any related concerns. The provider's arrangements for staff training and their operational procedures supported this.
The principles and requirements of the Mental Capacity Act (2005) were understood but were not relevant to the service provided. People were supported by staff who took time to get to know them. Staff were aware how to promote people’s safety and independence. People were provided with information to support them to make day-to-day decisions.
At the time of our inspection no one was supported by staff with their medicines.
People and their relatives told us the staff were caring and kind and that their privacy and dignity was maintained when personal care was provided. People and their relatives were involved in the planning of their care and support.