Helping Hands Stalybridge

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: 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. Care plans were detailed and person-centred. The care plans provided guidance for staff about how best to support people's needs and preferences, and the outcomes to be achieved. People and relatives were involved in the care planning and regular reviews. People's communication needs were met. Care plans included people's end of life wishes.

Right Care: People received kind and compassionate care. Staff understood and responded to people's individual needs. People were protected from the risks of abuse and staff were trusted to keep them safe. Staff had received training in how to safeguard people. Medicines were managed safely. Staff had to undertake training before they could administer medicines and received competency checks to ensure they administered medicines safely. People's care needs were risk assessed and care plans provided staff with the information they needed to manage the identified risk. Accidents and incidents were recorded and managed appropriately.

Staff were recruited safely and had the necessary safety checks in place before starting work. The provider had systems in place to monitor staffing levels and ensure people received their visits. Staff had received an

induction when they first started working at the service and training relevant to their roles had been provided. Staff had regular training and opportunities for supervision [one to one support sessions with their line manager].

Right Culture: Staff placed people's wishes, needs and rights at the heart of everything they did. Staff had received training in equality and diversity, and they were committed to ensuring people were treated well. Staff knew people's history and preferences and used this knowledge to support them in the way they wanted. People were involved in making decisions about their day-to-day care. People were treated with dignity, privacy and respect. People's independency was encouraged where possible.

People and their relatives' views had been sought through regular contact, surveys and quality monitoring.

Governance systems were in place to monitor the standard of care people received. Staff had regular contact with people and completed regular reviews, meetings and quality checks, which also reviewed the quality of care people received. Various auditing systems were in place.

The registered manager and staff demonstrated a commitment to people, and they displayed person- centred values. Staff praised the registered manager and wider management team, they felt supported in their roles.