6 June 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. There was no evidence or information from our inspection and ongoing 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.
Staff were kind, caring and had a good knowledge of people which they used to deliver personalised care. People told us they were treated with respect and staff had a high regard for protecting their privacy and dignity. Staff demonstrated they were dedicated to providing personalised care and support.
People received visits at consistent times and from staff who were familiar to them. A low turnover of staff meant people received consistent care and were able to develop positive relationships with the staff who cared for them.
Staff supported and encouraged people to prepare and consume foods and drinks which met peoples’ individual preferences.
Staff managed risk in a proactive and personalised way. Staff were skilled in identifying changes, risks and concerns with people’s health and worked in partnership with other professionals to ensure people maintained good health.
Overall medicines were managed safely, although some improvements were needed to the documentation of medicine support provided.
People were asked for their views about the care they received and how the service should be operated. Staff listened to and acted upon peoples’ views to ensure they provided a personalised and responsive service.
Staff were recruited safely to help ensure they were of suitable character to work with vulnerable people. There were enough staff to ensure a reliable and consistent service was provided. A new wellbeing worker role provided additional support if there was an incident. Staff received appropriate support and training to undertake their role.
The provider had effective systems in place to monitor the quality of care provided and where issues were identified they took action to make improvements.
People and staff provided very positive feedback about the new registered manager. We saw they had implemented some positive improvements to the service and were committed to ensuring the quality of care continuously improved.
The provider had clear values and staff were true to these values in their day to day work.
We found all fundamental standards were being met. Further information is in the detailed findings below.