17 April 2013
During an inspection looking at part of the service
At our previous visit we found the service did not have accurate and appropriate records about each person using the service. At this visit we found care plans clearly described people's needs. Care records were kept in a consistent and logical order. Care workers told us care plans reflected people's needs and were up to date.
The service had an appropriate policy for minimising infection risks. Staff were well equipped. We spoke with four people receiving a service. They said work was done in a hygienic way.
Staff were in date with their training. Some had received additional training, in end of life care, dementia care and working with mental health issues. Staff were supervised by quarterly spot checks. These enabled management to monitor how well care workers were delivering care in line with their training and people's care plans.
People told us staff were quick to advise if they thought a GP or other medical referral was indicated. A mental health social worker said staff were skilled in understanding and motivating people with mental health needs, which reduced the need for hospital admissions.