24 June 2014
During a routine inspection
We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask.
The detailed evidence supporting our summary please can be read in our full report.
This is a summary of what we found;
Is the service safe?
People told us they felt safe. Safeguarding procedures were in place and staff understood their role in safeguarding the people they supported. There were policies and procedures in place to make sure that unsafe practice was identified and people were protected. This helped to ensure that people were kept safe.
There was a comprehensive training programme including safeguarding for the staff team. The staff and manager had a good understanding of whistle blowing policies. There was a comprehensive induction process and ongoing learning around safeguarding for the staff team.
Is the service effective?
We found that the service was person centred and staff were aware of peoples choices, preferences and support needs. We found evidence that people and their relatives had been involved in planning the care and support. One person told us, 'The carers are really nice, we have fun. The carers do what I need and most of them go the extra mile.'
It was clear from the records we sampled and from speaking with staff that they had a good understanding of people's care and support needs and that they knew them well. A member of staff told us, 'The managers are really good, they do things straight away.'
Is the service caring?
We saw that people were supported by kind and attentive staff. We saw that the staff were patient and gave encouragement when supporting people. We observed staff and people together in the communal areas and all the interactions were friendly, polite and very caring. It was clear that people felt comfortable and relaxed. We saw people ask for support which was given quickly and appropriately. One person spoke with us about her carers and said, 'They are very good indeed, they are lovely and very respectful.'
Is the service responsive?
The service worked well with other agencies and services to make sure people received their care safely and effectively. People had care and support delivered to them in a way they were happy with. There was a process for making complaints. During our visit we observed one person go into the office to raise an issue that was dealt with immediately. A member of staff told us, 'It's nice here. I feel I get loads of training, if I have any problems the managers deal with it straight away.'
Is the service well-led?
All the staff we spoke with told us they were clear about their roles and responsibilities. The agency was part of a larger organisation. We saw how the agency was checked by the organisation to ensure quality standards were maintained. We saw that there was a clear system of line management and all the staff we spoke with understood how to ask for support and who to report any concerns to.
All the people we spoke with told us that they were very happy with the care that had been delivered and that their needs had been well met. A member of staff said, 'They have come a long way, there have been no adverse comments from stakeholders. It's a very stable situation.'