16 January 2019
During a routine inspection
At the service’s last inspection of 31 May 2016, this service was rated good overall and in each key question. At this inspection we found the evidence continued to support the rating of good and 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.
There were two registered managers in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People continued to receive a safe service. Risks to people were managed, including risks from abuse and in their daily lives. The service learned from incidents to improve practice. There were enough support workers to ensure that all planned visits for people were completed. Support workers were recruited safely. Where people required support with their medicines, staff followed safe practice. There were infection control processes to reduce the risks of cross infection.
People continued to receive an effective service. Support workers were trained to meet the needs of the people using the service. Where people required assistance with their dietary needs, this was provided. People were supported to have access to health professionals where needed. The service worked with other organisations involved in people’s care to provide consistent care. The service understood and worked to the principles of the Mental Capacity Act 2005.
People continued to receive a caring service. People had positive relationships with their support workers. Staff respected and promoted people’s dignity, privacy and independence. People’s views were listened to and valued.
People continued to receive a responsive service. People received care and support which was assessed, planned for and delivered to meet their individual needs. A complaints procedure was in place, improvements were being made around how complaints were documented. There were no people using the service who required end of their life care, but systems were in place should this be required.
People continued to receive a service which was well-led. The registered managers were knowledgeable about their roles and responsibilities in providing people with good quality care. There were systems to assess and monitor the service provided and implement improvements where required. There was an open culture and people were encouraged to share their experiences of the service and these were used to drive improvement.