Spinal Homecare Services Limited

At our last inspection in May 2016 we rated the service as 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 report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager in post who is also one of the directors of the registered provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were sufficient numbers of suitable staff to meet people's needs. Induction training was comprehensive and training was on going. Staff were supported by the registered and care managers through regular staff meetings, supervision and appraisals.

When employing fit and proper persons the recruitment procedures had included all the required checks of suitability.

Hazards to people's safety had been identified and appropriately managed.

People's dignity and privacy were actively promoted by the staff supporting them.

People were given the opportunity to select their staff and who they were most compatible with. People received care from a team of staff who they knew well and treated them with respect.

Everyone we spoke with made very positive comments about the service provided and the staff who

supported them.

Auditing and quality monitoring systems were in place that allowed the service to demonstrate it was safe and well managed.

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 told us this was an excellent service and said they would recommend it.

People received the support they needed to take their medicines safely. The staff identified if people were unwell and supported them to contact health professionals.

People were asked for their consent before care was provided and the decisions they made were respected.

Further information is in the detailed findings below

The five questions we ask about services and what we found