3 February 2014
During a routine inspection
We saw the complaints procedure was available to people who used and visited the service. Staff told us how they would support people to raise concerns if they could not do so themselves.
We found that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.
We found that people were happy with the care they received and told us they saw a range of health professionals for advice and treatment.
We found that staff helped to make sure health and social care was well coordinated and provided by a range of professionals.
People who used the service were provided with a balanced and varied diet.
We found that the numbers of staff provided was based on individual need and regularly reviewed to ensure there was adequate support available to meet the needs of the people who used the service.
We observed positive interactions between staff and people living in the home. We saw that staff offered people choices in how care was to be delivered and that they took their time to explain care tasks to people.
Discussions with staff showed that staff were knowledgeable about people's care needs and the care required meeting needs. We found that professional advice had been sought by care workers where any health needs were identified.
Comments included 'The staff are really good and they listen to what I want. I am treated like an adult and they are supporting me to become more independent, so that I will have my own place at some point in the future, which is what I want.'
Another told us 'I am more of an outdoor person, so I don't like to be inside much. When I told staff that I wanted to be outside more, they helped me to change my college timetable to those sorts of things and got me work experience in a riding school, which is great.'
We found that people's personal records and other records relevant to the management of the service were accurate and fit for purpose