10 April 2014
During an inspection looking at part of the service
Following our last inspection in August 2013 we set some compliance actions for the provider to protect the interests of the people using the service. Some of these matters we needed to check did not necessarily relate to people's views and experiences. Therefore at this visit we did not ask people to comment on all of the outcomes we looked at.
Is the service safe?
The recruitment procedures in place did not demonstrate to us that the provider operated a robust and effective recruitment procedure to protect the interests of people using the service.
Is the service effective?
The reviews of care showed that people had been involved at the assessment of their needs and part of the decision making about how their needs would be met by the service. The care plans we viewed had a designated section for signatures of the assessor and for the client. This meant that people understood the care they received and support was consistent with and in accordance to their wishes.
Is the service caring ?
We saw that an assessment of needs was completed before people began using the service. The information gathered in the assessments was used to create an individual support plan for people. We saw that formal reviews of care and support had taken place.
Is the service responsive?
The service had introduced new policies and procedures to deal with complaints received. At this visit we did not see that the new systems were fully embedded however the records of complaints logged since January 2104 complied with the new company procedures.
Is the service well-led?
Systems that were in place had not been effective in monitoring the quality of the service nor did they identify any themes or trends in relation to learning from information gathered through the auditing process.