1 December 2017
During a routine inspection
At the last inspection, the service was rated Good.
At this inspection, we found the service remained Good.
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. Staff sought people’s consent to care and treatment and provided their care in line with the legal requirements of the Mental Capacity Act 2005.
People continued to receive safe care and support. Staff were aware of the identified risks to people’s health and well-being and understood how to provide safe care. Staff followed appropriate safeguarding systems to ensure they protected people from the risk of abuse and neglect.
People were supported by a sufficient number of suitably skilled and experienced staff to meet their needs. People’s care was delivered by staff who received the support they required to be effective in their roles, which included regular supervisions, appraisals and training.
People received care in line with their assessed needs, current legislation and best practice guidance as recommended by health and social care professionals. The registered manager reviewed people’s needs and ensured staff had sufficient guidance to meet their changing needs.
People who required support to take their medicines were helped to do so safely by staff trained to carry out this duty. Staff knew how to minimise the risk of infection and had received the relevant training to guide their practice. The registered manager ensured staff learnt from incidents and near misses to help keep people safe.
People were supported to eat and drink healthily and to access healthcare services when needed. Staff worked closely with other health and social care professionals to ensure people received appropriate care in a timely and coordinated manner. The provider ensured people had access to the equipment they needed to enable them to receive effective care.
People received care provided in a compassionate and dignified manner. Staff respected people’s individuality and maintained their privacy and dignity. People were involved in planning their care and support and had access to advocacy services when needed. Staff ensured people had the information they required to make decisions about their care.
People were given opportunities to share their views about the service. The registered manager acted on people’s feedback to improve service delivery. People were confident of making a complaint and felt reassured that their concerns would be resolved.
The provider used their quality assurance systems effectively to monitor and improve care provision. The registered manager and staff understood the provider’s vision to provide person-centred care. Staff were valued at the service and spoke highly of the registered manager. People benefitted from the close working relationship between the provider and external agencies.