5 July 2018
During a routine inspection
The inspection was carried out on 5 July and was announced. This was the first inspection to the service since it registered with CQC on 4 September 2017.
The service was run by a registered manager who was present at the inspection visit to the office. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People and relatives told us they trusted staff and felt safe. Staff had received training in how to safeguard people and how to follow the service’s safeguarding to keep people safe.
Assessments of potential risks in the environment and with regards to people’s health and welfare had been carried out and strategies put in place to protect people from avoidable harm.
Comprehensive recruitment checks were in place for new staff. People had their needs met by regular staff who were available in sufficient numbers.
Staff had been trained in the safe management of medicines and followed the provider’s medicines policy.
People’s health and nutritional needs were monitored and people were encouraged to eat and drink to maintain good health.
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.
An induction programme was in place for new staff and there were systems in place to make sure staff training was refreshed on a yearly basis. Staff felt well supported through regular communication with the registered manager.
People were supported by a member of staff who had been matched as compatible. Staff knew people extremely well as they spent their day together and so could quickly respond to any changes in their well-being. People and relatives said staff were kind and caring and that people could make their own choices and decisions.
People's needs were assessed before they were provided with a service and care plans gave guidance to staff about how to care for each person's individual needs and routines. People had a live-in member of staff who continuously supported them for several months and therefore got to know the persons preferences, preferred routines and individual character.
People and relatives knew how to make a complaint but said that they had not needed to.
Feedback was that the service was well- run. The registered manager communicated effectively with staff and family members to monitor people’s health and wellbeing. Staff said they received excellent support and that this helped them to support people in the best way that they could. There were systems in place and being further developed to check that care was responsive and safely delivered.