Koinonia Christian Care

People's health risks were mostly assessed with plans to reduce risks. Care plans did not always contain specific instructions for people living with diabetes for staff to watch out for in the event of high or low blood sugars. Other risk assessments, such as, for the use of bedrails and equipment to help people with their mobility was detailed and contained enough information for staff.

People were protected from infectious diseases by good staff practices and a clean environment. People were kept safe by staff who understood their responsibilities to recognise and report safeguarding concerns. People received their medicines in a person centred and timely way, staff were trained and assessed as competent before administering people's medicines.

People were supported by skilled and knowledgeable staff. New staff completed an induction course which included shadowing a more experienced staff member. The registered manager identified gaps in training records and had arranged a training programme to ensure all staff had the relevant knowledge to support people.

People told us there were enough staff to support them and our observations confirmed this. Comments included, "I know the staff, some better than others, they help me to get up." People were treated with dignity and respect, and their independence was promoted by staff. A staff member said, "With [people], if you ask any of them they will say we are like family." We saw staff speaking with and interacting with people in a dignified and respectful way throughout the inspection.

People and their relatives told us they knew how to complain and felt comfortable to so do if necessary. The registered manager was highly regarded by people's relatives and staff. They told us they were able to approach the registered manager informally or at meetings and felt listened to. Comments included, "There are monthly residents' meetings, which are recorded in notes that we can refer to. Things are suggested and done." And, "I don't go to residents' meetings, if I wanted to change something I'd go through [registered

manager]."

Staff worked with health and social care professionals to ensure people's needs were met. Health and social care professionals provided positive feedback about the service. Comments included, "[Registered manager] is very present 'hands on' with residents, helping out if needed & always friendly & polite. There are some long standing senior care staff who are similar."

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.