12 April 2019
During a routine inspection
People’s experience of using this service: Systems to assess, monitor and improve the service were not sufficiently robust. Recording in daily notes was not detailed and staff did not accurately record their arrival and leaving times. There were no audits taking place to demonstrate oversight of the service.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and procedures in the service supported this practice.
A person and people’s relatives told us they felt safe receiving this service. Staff had received safeguarding training and knew how to protect people from harm. Risks to people had been assessed, monitored and reviewed.
No new staff had been recruited since our last inspection. Staff were receiving regular formal support and training needs were up-to-date. This included training in the Mental Capacity Act (2005) which resulted in a breach of regulation at our last inspection.
People received a service from a small number of staff which provided consistency. There were no missed calls reported and feedback indicated staff arrived on time and stayed for the full duration of their visit.
Staff were trained in providing medication, although no one required this assistance at the time of our inspection. People were supported to receive enough to eat and drink.
Relatives confirmed staff supported them to access healthcare services, although they were able to arrange this independently.
Feedback received regarding the care and support staff provided was good and surveys supported this. Staff knew how to protect people’s privacy and dignity and they met the religious and cultural needs.
Care plans were detailed and contained step-by-step guidance for staff to follow. Care was provided around people’s preferences and their routines.
No complaints had been made since out last inspection, but people using this service were aware how to provide feedback if they were unhappy. Feedback regarding the registered provider was positive.
We made recommendations regarding the recording of supervision to make this more personalised to individual staff and introducing body maps.
Rating at last inspection: At the last inspection the service was rated as Requires Improvement (April 2018). The rating has stayed the same at this inspection.
Why we inspected: This was a planned inspection.
Follow up: We have asked the registered provider for an action plan. We will continue to monitor intelligence we receive about the service until we are scheduled to return. We inspect according to a schedule based on the current rating, however may inspect sooner if we receive information of concern.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk