Arundel Domiciliary Care Services Limited

At our last inspection in September 2016 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 ongoing monitoring that demonstrated serious risks or concerns. This inspection is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People felt safe and received care and support from staff who understood and managed their risks appropriately. Lessons were learned and improvements made when things went wrong. Staffing levels were sufficient to meet people's needs and new staff had checks made on their suitability to work in a care setting. Medicines were managed safely. People were encouraged to be independent by participating in housekeeping duties such as laundry or cooking and keeping their rooms clean.

Technology was used to aid people's communication. Staff completed a range of training to meet people's care and support needs and attended supervision meetings with their line managers. People had sufficient to eat and drink and were encouraged with healthy diets and lifestyles. They had access to a range of healthcare professionals and services. People had personalised their rooms and had access to communal areas. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported by kind and caring staff and positive relationships had been developed. People were involved in all aspects of their care and were encouraged to make decisions and choices. They were treated with dignity and respect.

Care plans provided detailed information about people and guidance to staff. Positive behaviour support was used by staff to manage or prevent any incidents of challenging behaviour. Communication systems had been developed that were personalised and effective. People's diverse needs were catered for. People were involved in a range of activities, the majority of which were out in the community. Planners were organised to enable people to choose what they would like to do in line with their interests. Complaints policies were accessible and easy for people to understand.

Staff felt supported by their managers and spoke positively about working for the organisation. They were clear about their roles and responsibilities and feedback from a staff survey was positive. People and relatives were asked for their comments about the service and results were favourable. Audits were effective in monitoring and measuring the service and in driving continuous improvement.

Further information is in the detailed findings below.

The five questions we ask about services and what we found