Our inspection looked at our five questions; 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 using the service, speaking with the staff supporting them and looking at records.
If you want to see the evidence supporting our summary please read the full report.
Is the service safe?
We found adequate quality monitoring systems were in place. This ensured the risks to people were identified and reduced, to be able to continually improve.
Care and treatment was planned and delivered in a way that helped to ensure people's safety and welfare. In most cases records were in place to monitor any specific areas where people were more at risk and explained what action staff needed to take to protect them.
The company had policies and procedures in place to help protect people who used the service from abuse. We found staff had received training in relation to safeguarding vulnerable people from abuse.
There was enough qualified, skilled and experienced staff to meet people's needs. Staff told us there was enough staff on duty to ensure people were able to go out in the community and participate in activities they wanted.
Is the service effective?
People's health and care needs were reviewed, and people were involved in the reviews. Two relatives we spoke with both told us the service provided was brilliant. One relative told us, 'There is nothing I can fault.'
Audits and reviews had taken place; the audits were thorough and detailed. We saw that any shortfalls had been identified and addressed.
Is the service caring?
We observed care workers interacted positively with people who used the service. One relative told us, 'The staff understand how to communicate with my relative and give them time to respond.'
Another relative told us, 'The staff understand my relative's needs, they have taken time to learn how they communicate and what different signs and gestures mean'.
Care files contained information about people's needs and preferences. We saw care and support had been provided in accordance with people's wishes.
Is the service responsive?
We found people were encouraged to express their views and were involved in making decisions about their care and treatment. The staff we spoke with gave us good examples of how people were involved in making decisions about the care and support they received
Is the service well-led?
The manager and provider followed a robust quality monitoring system that identified shortfalls and ensured they were rectified. The provider had identified a number of areas which required improving. There was a detailed action plan in place that the manager was working through to ensure improvements were carried out.
Staff told us they worked very well as a team. They told us they had regular meeting ensuring communication was good. Staff we spoke with told us they enjoyed working at Ten Acre; they were supported and worked well as a team.
Staff told us they received regular supervision and could at any time raise any concerns or ideas and they were listened to. Staff were clear about their roles and responsibilities. We saw they had access to policies and procedure and were kept up to date with any changes to make sure they reflected how the service operated
The manager was new in post and was in the process of registering as the registered manager with CQC.