5 March 2018
During a routine inspection
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good overall. There were no breaches; the service met all relevant fundamental standards.
At the time of our inspection 165 people were using the service. Out of these 51 people were receiving a regulated service.
Why the service is rated Good.
All staff received the training they needed to carry out their roles effectively and were well supported. Care givers had been safely recruited. There were sufficient numbers of care givers to provide people with the support they needed.
The service has a registered manager. 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 were positive about the registered manager and the way the service was run.
People’s care records were detailed and person centred. They identified what was important to and for the person. People were safe because the risk assessments and systems in place to keep them safe from abuse or avoidable harm were effective.
People’s nutritional and health needs were met and medicines were managed safely.
Care givers and management understood their roles and responsibilities to seek people's consent prior to care and support being provided. People were supported to have maximum choice and control of their lives and care givers supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People told us they were very happy with the care and support provided to them by their care giver. They told us they were treated with kindness, respect and compassion.
People were supported to maintain their independence, interests and hobbies.
The provider had a strict protocol in place that all visits to people were no less than one hour long. This helped to ensure people received safe and effective care in the time and manner they wanted and needed.
Quality assurance systems were in place to monitor and continually improve the service provided. Policies and procedures in place were kept under review.
Feedback was obtained from people who used the service, their families and representatives. There was a procedure to help people to complain if they wanted to. People we spoke with told us they had no complaints.
The provider had notified CQC of significant events and displayed the rating from the last report.