30 March 2016
During a routine inspection
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.
Some people were not protected from potential abuse as staff did not report some of their concerns to the local authority.
People told us they felt safe. Risks to people were managed in a positive way to keep people safe and promote their independence. There were systems in place to manage medicines and ensure that people were supported to take their prescribed treatments. The staff who worked in the service had checks to ensure their suitability to work there. Staff received an induction and training to gain the skills and knowledge to support people.
We found that staff had an understanding of the Mental Capacity Act 2005 and when needed mental capacity assessments were completed. When people lacked capacity to make their own choices, decisions had been made on their behalf in their best interests. People were involved with planning and reviewing their care.
People were treated in a caring way and were happy with the staff. People told us the staff had the skills to support them and knew them well. People were encouraged to be as independent as possible. When people needed support with mealtimes or access to health professionals it was provided for them.
Quality monitoring was completed by the provider and was used to bring about improvements to the service. The opinions of people who used the service was sought and this information was used to make changes. Staff felt supported and listened to and were given the opportunity to raise concerns and suggest changes.