Care Staffing Limited

At the time of our inspection the service was supporting 23 people who were receiving 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.

People's experience of the service and what we found: At our last inspection, we found improvements were required around managing people's care calls in a more structured way to ensure care was received when required. People's preferences were not always supported and there were ineffective quality assurance processes.

At this inspection, we found improvements had been made. People received their care and support in a way that met their needs. The improvements in quality assurance, call management and meeting people's preferences and choices had improved. The provider was no longer in breach of the regulations.

We found there was a positive culture, which focused on meeting people's needs. People spoke positively about the service and the staff team. People's views and feedback was sought on the service they received and acted upon through regular meetings and daily interactions.

People were supported to receive their medicines safely, however some improvements to medicines management needed to be made. Immediately following our visit, the registered manager had taken those actions. Staff received training and they had their medicine competency assessed, to ensure they followed correct procedures.

People were supported by staff who knew them well and who were kind, caring and attentive. People's safety and care needs were identified, their care was assessed and planned, and their needs were met. People's individual preferences and lifestyle choices were respected, whilst their safety needs were balanced through risk interventions.

Staff understood how to protect people from abuse and poor practice. Staff were confident the provider would take action to protect people, should this be required.

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's freedom was not unnecessarily restricted, and people were not physically restrained.

Where required, staff worked with people, relatives and health and social care professionals to maintain people's overall health and wellbeing.

The provider had safe recruitment systems to ensure staff were suitable to look after people. There were enough staff on call schedules to ensure care calls were completed at people's agreed times and for the right duration. People and their family members were involved in how their care was provided which helped them live the lives they wanted.

The providers systems and processes showed improvements and some of the actions we identified for improvement, had been identified through their audits. A regular programme of audits and checks were completed and actions formed one provider action plan. However, further work was needed to ensure there was evidence of what was checked and what actions had been taken, for example, improvements to record keeping and medicines management.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk