16 April 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;
Is the service safe?
Is the service effective?
Is the service caring?
Is the service responsive?
Is the service well led?
This is a summary of what we found '
Is the service safe?
All the people we spoke with told us they felt safe when the care staff were in their homes.
Training records we looked at showed that care staff had received training appropriate to their role. The provider only allowed care staff to support people once they had completed an induction programme which ensured they had the skills to support people safely.
Risks to people, staff and the environment had been identified and care staff were given clear information on how to minimise these risks.
Is the service effective?
People told us their needs were met by the care staff. Care staff we spoke with understood people's needs and how to support them.
Care staff were supported in their roles through regular supervision with the registered manager. This ensured they could meet people's needs.
We saw evidence that the provider worked closely with other health professionals to ensure there was a joined up approach to meeting people's care.
Is the service caring?
People we spoke with told us they were happy with the care and support they received. One person told us the care staff were, 'Brilliant, they have compassion and they care'.
People were involved in planning the care they received. The registered manager asked what was important to them and what their preferences were when finding out their needs. One person told us, 'They ask how I want things done and they remember for next time'.
Is the service responsive?
People's needs had been assessed before care was provided. Care records were updated regularly to reflect people's changing needs.
Care records were individual to the person and care and support was provided in accordance with people's wishes.
One person told us, 'They came straight away when I enquired about them providing support to me. They were very helpful and found out what I wanted'
Is the service well led?
The provider had systems in place to assess and monitor the quality of care they provided. We saw evidence that the registered manager used these systems to improve the quality of care they provided.
People and care staff told us they saw the registered manager often and were able to freely talk about any issues or concerns they had.