This inspection was completed by one inspector. We spoke with one person who used the service and one relative. We also spoke with the provider, the registered manager and three care staff, one of whom also worked as an occupational therapist in the service. The evidence we collected helped us to answer five questions; Is the service caring?
Is the service responsive?
Is the service safe?
Is the service effective?
Is the service well led?
Below is a summary of what we found. The summary describes what we observed, the records we looked at and what people using the service, their relatives and staff told us. If you wish to see the evidence supporting our summary please read the full report.
Is the service safe?
People who used the service told us that they felt safe. One person told us, "I feel completely safe". Safeguarding procedures were in place and staff understood their role in safeguarding the people they supported. Staff were aware of the provider's whistleblowing policy.
Staff knew about risk management plans and people told us they were supported in line with those plans. This meant people were cared for in a way that protected them from harm.
The provider worked well with health care providers to ensure people's health needs were met and they were protected against harm.
Systems were in place to make sure that the manager and staff learned from events such as accidents and incidents, complaints and checks made on the service. This reduced the risk to people and helped the service to continually improve.
Is the service effective?
People's care needs were assessed with them. People we spoke with told us they were involved in their care planning and reviews and had agreed them. We saw care plans were regularly updated.
Where people had complex needs that required the input of specialist health care services, assessments had been made by the appropriate professionals. Their recommendations were carried out by staff. This meant the provider worked well with other services to ensure people's health care needs were met.
Staff told us they were well supported and trained to ensure they effectively met people's needs.
Is the service caring?
People we spoke with told us they were supported by kind and caring staff. One person told us, "The staff are really nice, I get on well with them".
People's preferences, interests and diverse needs had been recorded and care and support was provided in accordance with people's wishes.
Is the service responsive?
People had the opportunity to plan and engage in a range of different activities each day.
People were asked their views about the service and the provider acted on comments and suggestions that people made.
Where care staff had noticed people's changing needs, their care plans were updated to reflect this. We found staff discussed people's care needs with them on a regular basis. People told us staff always did their best to make sure they were happy.
Is the service well led?
The provider had quality assurance and risk management systems in place. We found the registered manager checked that risks were managed effectively.
The provider sought the views of people who used the service. Records seen by us indicated that shortfalls in the service were addressed
Staff told us they were clear about their roles and responsibilities and understood the quality assurance and risk management systems. This helped to ensure that people received a good quality of care. Staff told us the service was well organised and they felt supported by their manager.