8 February 2023
During a routine inspection
People’s experience of using this service and what we found
Systems and processes were not always in place to support people’s safety. Risks to the person had not always been outlined in detail to ensure the risk was prevented or reduced. The person was supported by staff who had not always undergone a robust recruitment process. Staff were not all up to date with training so there was a risk of not meeting the person’s needs.
The provider’s systems and processes had not always effectively monitored the quality of the service being provided. Audits undertaken to monitor the quality of care provided had not always identified issues needing improvement.
The person using the service spoke positively of the reliability of the service. There were sufficient staff to meet the person’s needs. The person told us they felt safe and staff ensured they were safeguarded from harm. Staff followed the provider’s policy and procedure for infection prevention and control.
The person’s needs were assessed and kept under review and reflected all aspects of their care. They contributed to the assessment process. The person’s health care needs were recorded and met.
The person was supported to have maximum choice and control of their life 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.
The person spoke of the kind and caring approach of staff and said they were involved in decisions about their care, and their views were respected by staff.
The person was aware of how to raise a concern. They were confident any issues raised would be swiftly and effectively followed up.
Staff were supported through ongoing monitoring and good communication, which ensured information was shared in a timely manner to support in the delivery of personal care.
The person’s views had been sought through a survey, which had been analysed and used to identify if improvements were needed.
Rating at last inspection and update
This service was registered with us on 25 January 2022 and this is the first inspection.
Why we inspected
This inspection was carried out to provide the first rating of this service following registration.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.