5 July 2017
During a routine inspection
The service had a registered manager, who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Although the provider completed regular audits, they did not have robust systems to drive continual and sustained improvements. The provider worked closely with people, their relatives and staff to ensure that the service provided appropriately met people’s needs. They also promoted a caring and inclusive culture within the service.
People were safe because the provider had effective systems to keep them safe, and staff had been trained on how to safeguard people. There were risk assessments in place so that staff knew how to support people safely. People had been supported safely to take their medicines. The provider had effective staff recruitment processes in place and there was sufficient numbers of staff to support people safely.
Staff received training, support and supervision that enabled them to provide appropriate care to people who used the service. People were able to provide verbal consent to their care and support, and the requirements of the Mental Capacity Act 2005 were being met. Where required, people had been appropriately supported to have enough to eat and drink, and to access health services.
Staff were kind and caring towards people they supported. They treated people with respect and supported them to maintain their independence as much as possible. People were happy with how their care was being provided, and they valued the support they received from staff and the registered manager.
People’s needs had been assessed before they were supported by the service. Care plans took account of their individual needs, choices, and information received during assessments. Staff were responsive to people’s needs and were working closely with people’s relatives to ensure that the support they provided was appropriate. The provider had a system to manage people’s complaints and concerns, and there had been no concerns raised about the quality of the service.