18 January 2017
During a routine inspection
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
People using the service felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and felt confident in how to report them.
People had risk assessments in place to enable them to be as independent as they could be whilst remaining safe. Staff knew how to manage risks to promote people’s safety, and balanced these against people’s rights to take risks and remain independent.
There were sufficient staff, with the correct skill mix, on duty to support people with their needs.
Effective recruitment processes were in place and followed by the service. Staff were not offered employment until satisfactory checks had been completed. Staff received an induction process and on-going training. They had attended a variety of training to ensure they were able to provide care based on current practice when supporting people. They were supported with regular supervisions.
Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service.
People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were knowledgeable about this guidance and correct processes were in place to protect people. Staff gained consent before supporting people.
People were able to make choices about the food and drink they had, and staff gave support when required to enable people to access a balanced diet.
People were supported to access a variety of health professional when required to make sure they received continuing healthcare to meet their needs.
Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support.
People’s privacy and dignity was maintained at all times.
People were supported to follow their interests and join in activities of their choice.
People knew how to complain. There was a complaints procedure in place which was accessible to all. Complaint had been responded to appropriately.
Quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.
Further information is in the detailed findings below