The inspection was carried out by one inspector. We considered all 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 caring?
' Is the service responsive?
' Is the service safe?
' Is the service effective?
' Is the service well led?
Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people who used the service, the staff supporting them and from looking at records.
If you want to see the evidence supporting our summary please read the full report.
Is the service caring?
People's preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people's wishes. People told us they were happy with the care provided at the service.
Is the service responsive?
The service had a complaints procedure which people could access. People can therefore be assured that complaints are investigated and action is taken as necessary. People who used the service were consulted on a daily basis about what activities they would like to undertake. There were also planned activities which included going out to day service. People were consulted about their care needs.
Staff followed instructions from visiting health care professionals for example GPs and district nurses. This ensured people received the care and attention they required to meet their needs.
Is the service safe?
The service was safe, clean and hygienic. Equipment was well maintained and serviced regularly, therefore not putting people at unnecessary risk.
The provider sets the staff rotas, they took people's care needs into account when making decisions about the numbers, qualifications, skills and experience required. This helped to ensure that people's needs were met.
The provider had policies and procedures in place for staff to follow to report any abuse they may witness or become aware of.
Is the service effective?
People's health and care needs were assessed with them and they were involved in writing their plans of care. Specialist dietary, mobility and equipment needs had been identified in care plans where required.
Is the service well led?
The provider consulted with people about how the service was run and took account of their views. However, we found that the way the information was collated and reported did not reflect people's views and was out of date. We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to the quality monitoring of the service
What people who used the service and those that matter to them said about the care and support they received.
People who used the service told us they were happy and they were satisfied with the care they received. Comments included, 'This is a nice place, I am happy here', 'The staff look after me really well, they help to be independent', 'I like living here, I feel safe' and 'I think this is better place than where I used to live.'
People also told us they were involved with their care plans. Comments included, 'We have meetings where I talk about my care and the way I want to be cared for.' People also told us they knew who to go to if they had any concerns or complaints. Comments included, 'I would see the staff, they would help me.'