An adult social care inspector carried out this this inspection. The focus of the inspection was to answer five key questions; is the service safe, effective, caring, responsive and well-led?As part of this inspection we spoke with five people who used the service, four relatives of people who used the service, the management team and four members of care staff. We also reviewed records relating to the management of the service which included five care plans, daily records, staff records and quality assurance monitoring records.
Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, and the records we looked at.
Is the service safe?
People who used the service indicated that their social and health care needs were met in a safe and appropriate way. People also felt safe because they had confidence in the staff members to arrive on time, and they also engaged well with them. Family members of people who used the service said that they felt their relative was kept safe because they were well looked after by the service.
Health and safety risk assessments had been carried out and measures were in place to minimise these, to safely keep people living at home.
The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards which applies to care services. While no applications had needed to be submitted, relevant staff had been trained to understand when an application should be made, and how to submit one. However, we have pointed out to the provider that members of staff had no access to Deprivation of Liberty Safeguards policy guidance. We expect the provider to take action to remedy this deficiency.
Equipment was available to support people’s individual needs. Members of staff were trained to safely support people with their walking aids and equipment around the home, where this was needed.
There was a sufficient number of trained and competent members of staff employed to provide people with safe and appropriate care, to meet their health and social care needs.
Is the service effective?
People’s choices and decisions about their support and care were respected and valued. People told us that they were actively consulted about their support and care. Changes were made, if needed, to effectively meet people’s choices.
The standard of support and care had enabled people to remain living independently at home. This was where people said they wanted to live. In addition, the support and care increased people’s level of confidence with their mobility.
Is the service caring?
People who we spoke with had many positive comments to make about how they were looked after. They also said that members of staff listened to what they wanted. People also considered that members of staff were well-matched to meet their individual health and social care needs.
Is the service responsive?
People’s individual needs, choices and personal preferences had been assessed and were kept under review.
Members of staff demonstrated to us how they respected people’s choices and decisions about their support and care.
The main aims of the service were to maintain and promote people’s independence and confidence. People who we spoke with and an examination of their care records, confirmed that members of staff supported people to achieve these aims.
Is the service well-led?
Members of staff told us that they had the training and support to safely do their job, which they said they enjoyed. They were trained and supervised so that people who used the service were kept safe and well-looked after.
People who used the service and members of staff, were provided with opportunities to make suggestions and comments to improve the quality of people’s support and care.
A manager’s application to voluntarily cancel their registration has been submitted for the Care Quality Commission to consider. Until this process is completed, the name of the former manager remains on our register. While a vacancy has arisen for a manager to be appointed, the service was being run by a management team. Active recruitment was in progress to fill the registered manager’s vacant position.