This inspection was completed by one inspector. On the day of our inspection we found 27 people used the service. We spoke with five people who used the service and four relatives on the telephone following the inspection. We spoke with the provider, the service manager and four care staff. Below is a summary of what we found. The summary describes what people told us, the records we looked at and what staff told us. We used the evidence we collected during our inspection to answer five questions. If you wish to see the evidence supporting our summary please read the full report.Is the service safe?
People told us they felt safe. One person told us, "I feel completely safe." Safeguarding procedures were in place and staff understood their role in safeguarding the people they supported. Staff were aware of the provider's whistleblowing policy.
The provider and staff sought people's consent and agreement to their care. This ensured that people's rights were protected.
Staff knew about risk management plans and we saw that they supported people in line with those plans. This meant people were cared for in a way that protected them from harm.
The provider worked well with health care providers to ensure people's health needs were met and they were protected against harm.
There were sufficient numbers of suitably skilled and trained staff to meet people's needs safely.
Systems were in place to make sure the provider and staff learned from events such as accidents and incidents, complaints and checks made on the service. This reduced the risk to people.
Is the service effective?
People told us their care needs were assessed with them. We saw evidence that people were involved in their care planning and reviews. We saw care plans were regularly updated. One person told us, "They have helped me so much, I now only need one call a day because they have supported me to regain my independence."
Where people had complex needs that required the input of specialist health care services, assessments had been made by the appropriate professionals. Their recommendations were carried out by staff. This meant the provider worked well with other services to ensure people's health care needs were met.
Staff were appropriately trained to ensure they effectively met people's needs.
Is the service caring?
People told us they were supported by kind and caring staff. One person told us, "The staff are kind, caring, polite and helpful."
People's preferences, interests and diverse needs had been recorded and care and support was provided in accordance with people's wishes.
Is the service responsive?
People were asked their views about the service and the provider acted on comments that people made. One person told us, "I had a small concern and they dealt with it immediately."
Where care staff had noticed people's changing needs, their care plans were updated to reflect this. We found staff discussed people's care needs with them on a regular basis.
Is the service well led?
The provider had risk management systems in place. We found the provider checked that risks were managed effectively. We found the provider used the information they gathered from their checks to develop a service improvement plan.
The provider sought the views of people who used the service and staff. Records seen by us indicated that people were asked about all aspects of the service and their views were acted on.
The provider ensured that sufficient numbers of staff were available at all times to meet people's needs.
Staff told us they were clear about their roles and responsibilities. Staff told us they felt supported by their manager.