Our inspection on the 8 November 2012 found we had concerns that the assessments and work schedules and medicine records did not provide enough information to enable staff to deliver a consistent and safe approach to people's care. The provider wrote to us and told us they would take action to ensure they were compliant with these essential standards. We carried out this visit to check improvements had been made and as part of our scheduled annual inspection programme.With their permission we telephoned five people who used the service and visited two people in their homes so they could tell us their experiences of the agency. All told us the agency was 'very good' or they were 'very happy', one person said it was 'excellent and they could not wish for better carers'. Two people said they had 'never had any complaints' and another person explained if they raised any minor concerns they were always responded to.
One person told us they were 'very very careful when they helped them with their medication'.
We found the agency had made some improvements to their medication and care record systems and staff told us they felt better informed about peoples needs. We saw people had received the correct medication. However we found that there continued to be some gaps in the medication records and this had not been identified by the systems the service used to assess and monitor the quality of the service they provided.