The home's medication recording format had been amended to include running totals and provision for stock checks to be recorded. Authorisation had been obtained from the GP for the use of pain relief as a homely remedy for each of the people supported. Records of medication received and returned, completed the audit trail for medication being managed by the home.
We looked at people's individual files which incorporated their personal profile, care plans and risk assessments and found they encompassed the safety and well-being of people who use the service. People who used the service told us that they knew how to raise a concern or complaint and felt confident in doing so. They said if they had any issues or concerns they could "talk to the manager." There were policies and procedures in place providing guidance and all staff had received safeguarding and managing challenging behaviour training which were identified in the records reviewed. We noted that people who used the service were given the opportunity to provide feed-back on the service.
The home had recruitment procedures in place which ensured that people employed had the necessary qualifications, skills and experience to support people who used the service. Staff told us they were supported by management and that they received regular training.
We looked at the risks associated with medicines and found that the provider did not have systems in place to ensure that people who used the service were adequately protected.
The person also said that they were supported to be independent and told us about the household chores they shared with the other person who lived in the home. The other person had a job and was out at work.
People had been given information about the service so that they knew what to expect. They were involved in developing their care plans, for example by saying what support they needed and when. People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.
There were safeguarding procedures and staff had received training so that people were protected from abuse. Staff had also received a range of training and qualifications and they were supervised and supported so that they could meet people's needs.
People were asked their views about the service and these were listened to and acted upon. There was a system to monitor the quality of the service that people received and to make improvements when needed. People's health, safety and welfare were promoted and protected.