9, 11 September 2013
During a routine inspection
We visited four people at home and spoke with three additional people who were also supported by the agency and shared their homes with the people we visited. We spoke with eight staff, two service managers and the quality manager.
We saw that people were relaxed with staff and freely approached and chatted with them. We saw that care workers knew each person's likes and dislikes and had good relationships with the people they cared for. They understood how people communicated and responded to people's non-verbal cues and gestures.
People who were able to give their consent were fully involved in making decisions. However, people who were not able to make some decisions did not have capacity assessments and best interest decisions recorded.
People experienced care, treatment and support that met their needs and protected their rights. This was because staff knew how to meet people's care and support needs and these were assessed and planned for. People were cared for, or supported by, suitably qualified, skilled and experienced staff.
People were not consistently protected from risks associated with medicines because PRN ('as needed') plans were not in place.
There was an effective system in place to regularly check and monitor the quality of the service people received.