15, 20 May 2014
During a routine inspection
We looked at four people's care records which included their individual care plan and risk assessments. Other records seen included: complaints and compliments log, staff meeting minutes, staff training and supervision records, quality monitoring audits, safety checks on equipment, provider's safeguarding vulnerable adults from abuse policy and procedures and satisfaction questionnaires completed by people who used the service.
We considered the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask; Is the service safe, Is the service effective, Is the service caring? Is the service responsive? Is the service well-led?
This is a summary of what we found;
Is the service safe?
People told us they felt safe, protected and their needs were met.
Records seen confirmed that staff were booked onto upcoming training or had received training in safeguarding vulnerable adults from abuse, the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). This meant that staff were provided with the information that they needed to ensure that people were safeguarded.
There were effective policies and procedures for managing risk. Staff understood and consistently followed them to protect people.
Records seen confirmed that health and safety was checked in the service and equipment was maintained and serviced.
Is the service effective?
People's care records showed that care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. The care records seen were regularly reviewed and updated which meant that staff were provided with up to date information about how people's needs were to be met.
Records showed that the quality of support provided was maintained through effective training, supervision and appraisal.
Is the service caring?
Care was individual and centred on each person.
Staff had a good understanding of the people's care and support needs and knew them well.
People's care records showed that where concerns about their wellbeing had been identified the staff had taken appropriate action to ensure that they were provided with the support they needed. This included seeking support and guidance from health care professionals, including a doctor and physiotherapist.
Is the service well-led?
Staff told us they were clear about their roles and responsibilities and were supported and trained to meet people's needs.
The provider had systems and procedures in place to monitor and assess the quality of the service provided. There were records to identify shortfalls in the service and how they had been addressed.