18 January 2018
During a routine inspection
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
.
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 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 in a safe manner. 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, to support people with their needs. Effective recruitment processes were in place and followed by the provider. Staff were not offered employment until satisfactory checks had been completed. Staff received an induction 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. Staff were knowledgeable of this guidance and correct processes were in place to protect people. Staff gained consent before supporting people.
At the time of the inspection, some people required minimal support to eat well.
Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People were involved in the planning of their care and support.
People’s privacy and dignity was maintained at all times.
People knew how to complain. There was a complaints procedure in place and accessible to all.
Quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Further information is in the detailed findings below