10 July 2019
During a routine inspection
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Improvements had been made since our last inspection including investment in developing policies and procedures and other management tools. Some of these tools still needed to be fully embedded to be effective in assessing and driving improvements. We made a recommendation about continuing to develop and embed good governance. There was a complaints procedure in place and any concerns were managed promptly.
Staff received training and support, including regular team meetings, to do their jobs well. People had developed caring relationships with the staff who supported them. People were appreciative and spoke fondly of staff. The provider had developed good working relationships with other health and social care professionals to support the needs of people using the service.
Risks to people’s health and wellbeing were assessed and plans were in place to monitor people and to assist them in a safe manner, staff knew how to support people safely, including the use of equipment to assist them to move. Staff understood how to protect people from harm and were confident any concerns would be reported and investigated by the management team. There were care plans in place to guide staff and these were regularly reviewed.
Where people received assistance to take medicines, records were kept so this was done safely. When people required assistance to eat or drink, the provider ensured this was planned to meet their preferences and their current assessed need. People had support when required, in order to liaise with healthcare professionals to ensure they remained well.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was Requires Improvement (published 22 August 2018).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. We also held a meeting with them to discuss the actions they would take. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.