2 September 2014
During a routine inspection
This is a summary of what people told us and what we found.
Is the service safe?
The provider had effective recruitment processes and undertook the necessary checks before new staff started work.
The provider had processes in place to ensure people were protected against the risks and spread of infection.
Individual risk assessments were in place to protect people who used the service both in the home and in the community. Plans were in place to deal with foreseeable emergencies.
Is the service effective?
We found people's care and support were based on assessments of their needs. Care plans were detailed and personalised. Systems were in place to ensure care was delivered according to people's plans. The service worked in cooperation with other healthcare providers where appropriate.
People's rights were protected because the service acted in accordance with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.
Is the service caring?
Staff we spoke with were motivated to provide good care. They knew about people's needs and how they preferred to have their care delivered.
We observed positive, friendly interactions between staff and people who used the service. Staff checked regularly people were comfortable, content and whether they needed any assistance.
Is the service responsive?
People's care plans were individualised and person-centred. The plans were reviewed regularly and adapted in line with people's changing needs. People's individual risks were assessed and actions taken.
The service took advice from other specialist healthcare providers as appropriate.
Is the service well-led?
We found risks were assessed and appropriate action plans were in place in people's individual care plans. Effective systems were in place to regularly assess and monitor the quality of service provided. Incidents and accidents were handled appropriately and lessons were learned. A complaints procedure was in place.