4 May 2023
During a routine inspection
People's experience of using this service and what we found.
Quality assurance systems were not always effectively carried out to ensure people were provided with a safe and responsive service.
Information of how to reduce risks to people's safety were included in people's care plans but were not always detailed to fully ensure staff knew how to reduce risks.
Safe recruitment practices were in not fully in place to ensure only suitable staff worked at the service.
A person and their relative were aware of how to approach the provider to raise concerns or complaints. However this was not the experience of 1 person who said it had been difficult to contact the office when they had a query.
Everyone said they were satisfied with the care staff provided. People said safe care was provided and they were satisfied with the level of protection against the risk of infection. Care plans inspected reflected people’s individual needs. Enough staff were employed to meet people's needs and timely calls were in place to provide personal care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People and a relative told us they were treated with respect and dignity and staff had a caring and friendly approach. They said they had good relationships with staff.
Staff respected people's privacy and encouraged them to keep their independence and do as much for themselves as they wanted to.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This is the 1st inspection of the service.
Why we inspected
The inspection was prompted by a concern we received that safe care had not been supplied to people. As a result, we undertook this comprehensive inspection.
Enforcement
We have found a breach in relation to the provider’s quality assurance systems. Please see the action we have told the provider to take at the end of the full version of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.