4 July 2018
During a routine inspection
There was a registered manager in post who was available for the second day of the 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.
At the last inspection the service was rated Good. At this inspection we found the service retained a rating of Good.
People continued to be protected from the risk of abuse and felt safe. Staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The registered manager shared information with the local authority when needed. People received their medicines as prescribed and the management of medicines was safe. They continue to be supported by sufficient numbers of staff who had received adequate training for their role.
People were protected from the risks of inadequate nutrition. Specialist diets were provided if needed. Referrals were made to health care professionals when needed. People lived in an environment that had been adapted to support their care. There were times when recording of the use of the principles were not documented to show how people had been supported to make their own decisions about a specific area of care.
People who used the service, or their representatives, were encouraged to contribute to the planning of their care. People were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate manner. When required the services of an advocate was available for people.
People received individualised care from staff who had an excellent understanding of their needs. They were supported to take part in a range of social activities of their choice that placed an emphasis on building independence and self-esteem. People were provided with information about their care in a format that they could understand.
People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of service provision. People also felt they could report any concerns to the management team and felt they would be taken seriously