25 February 2013
During an inspection looking at part of the service
We carried out this inspection to evidence whether compliance actions made at our inspection in August 2012 had been met. These compliance actions related to staff numbers and the support provided to staff to perform their roles. We received concerns about staff working excessive hours and being late for visits. Staff raised issues about the quality of training they received.
During our visit we examined two care plans, one staff file and spoke with the manager and two members of staff. We also spoke with one person who used the service. We looked at records relating to staff training and supervision.
To assess whether the provider had suitable systems in place to achieve ongoing compliance, we looked at their quality assurance systems.
We found that significant changes had been made to how staff were organised. This meant that people received a consistent service. Staff were arranged in teams and allocated to specific people that used the service.
Staff training had been reviewed and included 'face to face' training alongside e-learning.
The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.