1 February 2018
During a routine inspection
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained ‘Good’.
People are protected from avoidable harm. Assessments identify how staff are to support people from any risk of harm presented by their conditions. Staff maintain records of incidences so they can recognise and patterns and prevent people from experiencing similar events again. People are protected by staff who know how to recognise if a person is experiencing or at risk of abuse. People are supported by enough staff to meet their care needs and keep them safe. People are supported to take their medications safely. There are effective practices and policies to prevent and control the spread of infection.
People’s needs are assessed and plans put in place to provide safe and effective care. Staff receive regular training so they are able to meet people’s specific care needs. People receive food and drinks they enjoy. Staff communicate effectively between themselves and with other organisations. People are supported to live healthier lives and have access to other professionals. There are suitable equipment and adaptations so people can move safely around the home and garden. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Staff and the people they supported regularly shared positive and happy interactions. Consistent staffing enabled people to develop meaningful relationships with the other people and staff at the service. Staff respect people’s privacy and promoted their independence.
Staff respond promptly to people’s needs and are knowledgeable about the activities that people enjoy. Staff understand the importance of respecting people’s individual wishes and lifestyle choices. People are supported by staff who have the skills to assess their needs and support them to express their views. People can access the provider’s formal complaints policy if they wish. People have the opportunity to discuss their end of life wishes if they want to.
The service is well run and people benefitted from using the service. The registered manger is aware of their responsibilities to the commission. Staff said they enjoyed working in an open and transparent culture. The provider monitors the quality of care people receive and takes action when necessary to improve how people are supported. People and staff have the opportunity to influence and develop the service because there is a culture of learning and improvement. The provider works in partnership with other agencies so people experience a smooth transition between health care providers.
Further information is in the detailed findings below.