13 December 2013 and 8, 9, 24 January 2014
During a routine inspection
We visited three people's houses and spoke with the people who lived there. In addition, our expert by experience spoke with five people and their relatives. Our expert by experience stated afterwards that all responses were positive.
One person informed us, 'I enjoy them working with us. Always on time and I have a laugh. When I need help, I get help. When I don't want help, I don't get it. I do what I want for myself.' A relative told us, 'As far as I'm concerned, they're absolutely fine. They do what they're supposed to do. They're very sympathetic to my daughter's needs.'
Where people did not have the capacity to consent, the provider did not always act in accordance with legal requirements.
We found that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.
There were effective recruitment and selection processes in place.
We concluded that staff did not always receive appropriate training and support for their professional development.
We considered that an effective system was not fully in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.