11 May 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.
The manager and staff understood how to keep people safe. There were clear policies and procedures to follow for staff to raise concerns and staff were aware of these.
Risk assessments were in place for aspects of people’s care and support and these were updated regularly to protect people from harm. People were supported to have 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.
Staff were trained to give medicines safely, all training was monitored, competencies were checked and staff received regular support from the manager through supervision and appraisals.
People had a choice of what to eat and where they ate their meals. People were supported to eat when appropriate and their nutritional intake was monitored. People were regularly weighed to make sure they were healthy. We observed staff were caring and told people what they were doing at all times, we observed that people were treated with dignity and respect. We saw in people’s care plans what is important to them and how these needs were met. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Some mental capacity assessments were in place. We have made a recommendation about decision specific capacity assessments for consent to care and support.
The manager was visible and spent time each week working alongside the staff. Meetings with staff were inclusive with staff describing the manager as approachable. Systems and processes for ensuring the quality of the service were securely and effectively in place.
Further information is in the detailed findings below.