14 September 2017
During a routine inspection
At the last inspection, the service was rated good.
At this inspection we found the service remained good.
Mrs Janet Barlow is registered as an individual. The individual is the ‘registered person’. 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.
Staff knew how to keep people safe, with knowledge of the safeguarding procedures and individual risk assessments to support people’s safety.
Staffing levels were supportive of people’s needs whilst promoting their independence. The service did not have staff present during the evening and overnight, although there was a responsive on-call system to contact staff at any time.
Staff were confident in their knowledge of individual people and the support they needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Food and drink was based upon people’s individual needs and people’s independence was promoted well. People enjoyed mealtimes and shared responsibility for preparing meals and eating together.
People were respected and staff were respectful of their privacy and dignity. Staff involved people fully in all discussions about their care and support. Interactions with people were kind and supporting, with evidence of good relationships in a happy and relaxed homely environment.
There was clear evidence of person-centred care. People’s routines and preferences were respected and there were close links between people's families where appropriate and the service. Care records contained individual detail about people’s needs and this matched what staff told us.
The registered person was visible in the service and communication was open, honest and transparent. Staff fully understood their roles and responsibilities. Systems and processes for ensuring the quality of the service were effectively in place.
Further information is in the detailed findings below.