20 April 2017
During a routine inspection
The service had a registered manager. 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.
At the last inspection in November 2016, we asked the provider to take action to make improvements to safety with respect of risk management, medicines management and ensuring people received their visits. At this inspection on 4 April 2017 we found improvements had been made. Risk assessments in relation to people’s individual risks were in place. These set out how to support people in a way that mitigated the hazards identified.
People’s medicines were managed safely and records had been completed.
There were enough care staff deployed by the service to support people. Although a system was being implemented to ensure visits were completed by care staff this was not operational at the time of the inspection. We were therefore not confident that the service would always know if a person had not been visited if they were unable to alert the office themselves. Checks were carried out on care staff before they began working at the service. Care staff had the knowledge and received training on how to recognise and report concerns to keep people safe.
At the last inspection in November 2016, we asked the provider to take action to make improvements to staff training and supervision. At this inspection on 4 April 2017 we found improvements had been made. People were supported by care staff that had the training and support from their managers to deliver effective care and carry out their roles and responsibilities.
The service followed the guidelines within the MCA and consent to care was sought before care was undertaken.
People’s hydration and nutrition needs were managed well. People were supported to have access to health professionals where needed.
People were supported by caring staff who took the time to get to know their needs. People were provided with information about their care and privacy and dignity was respected and promoted.
People had been assessed to determine if the service was able to meet their needs. Care plans were accurate, up to date and contained personalised information about people’s care and emotional needs and relevant personal history. Regular reviews of people’s care needs had taken place. People knew how to complain and complaints were responded to in line with provider’s policy.
At the last inspection in November 2016, we asked the provider to take action to make improvements to their quality assurance systems. At this inspection on 4 April 2017 we found improvements had been made. The quality of the service was monitored and action taken if changes or improvements were needed.
The registered manager promoted a positive culture that meant people had personalised care from staff that cared for them. The service was well managed and care staff commented they felt supported and said how much they enjoyed their jobs. Records were well kept and were up to date which meant care was monitored closely.
At the last inspection in November 2016, we asked the provider to take action to make improvements to ensuring they notified us about important events. At this inspection on 4 April 2017 we found improvements had been made.