8 May 2017
During a routine inspection
At the last inspection on 18 February 2015, the service was rated Good. At this inspection we found the service remained overall Good.
Systems had been maintained to keep people safe. People and their relatives told us they felt people were safe with the care provided. They knew who they could talk with if they had any worries. They felt they could raise concerns and they would be listened to. Assessments of risks to people had been developed. Robust recruitment practices continued to be followed to ensure enough staff had been recruited to meet people’s care and support needs. Staff told us they had continued to receive supervision, and be supported to develop their skills and knowledge by receiving training which helped them to carry out their roles and responsibilities effectively. People told us care staff had the knowledge and skills to provide their care and support. One person told us, “The ones I have seen are.” Another person told us, “They seem to be very good.”
People's individual care and support needs had been identified before they received a service. Care and support provided was personalised and based on the identified needs of each person. People told us they felt listened to and they were involved in decisions about their care. Detailed care and support plans were in place and had been reviewed. One person told us, “The care plan review was attended by the social worker and nurse.” Another person told us, “We were asked carefully of our likes and dislikes.” Where people were unable to make decisions for themselves this had been considered under the Mental Capacity Act 2005, and appropriate actions continued to be followed to arrange meetings to make a decision within their best interests. Staff had a good understanding of consent.
People were happy with care provided. Comments received included, “Very satisfied,” “Certainly” and “More than satisfied. I cannot fault them in anyway.” People were supported by kind and caring staff who treated them with respect and dignity. They were spoken with and supported in a sensitive, respectful and professional manner. One person told us staff were, “Incredibly good and all are aware of my needs.”
If needed, people were supported with their food and drink and this was monitored regularly. People continued to be supported to maintain good health. One person told us, “On the odd occasions when I am not well they will come round and get in touch with the office.”
People, their relatives and staff told us the service was well led. Staff told us the manager was always approachable and had an open door policy if they required some advice or needed to discuss something. Senior staff carried out a range of internal audits, and records confirmed this. People and their relatives were regularly consulted about the care provided using quality assurance questionnaires.
Further information is in the detailed findings below.