Mumby's Live-in Care

At our last inspection we rated the service Good overall. At this inspection we found areas of the service had improved to Outstanding.

The service had a registered manager. 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.

The effectiveness of the service had improved to Outstanding. The service worked in partnership with other organisations to keep up to date with new research and had developed practice in line with current guidance. Staff were trained to follow best practice and training was developed around people's individual needs, such as dementia. Training was adapted to meet the needs of care staff to ensure their understanding. Management offered proactive support to care staff enabling people to be supported well. Staff spoke positively about the support they received from their managers. People told us the service was friendly, responsive and well managed. People were supported to eat and drink enough to ensure they received sufficient nutrition and were able to access healthcare services when required to maintain their health. 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.

The leadership and management of the service had improved to Outstanding. Since the previous inspection, the provider had put in measures to optimise how the service was run including expanding management of specific areas to ensure expertise. The provider had a vision to provide high quality person centred support to people. People valued this and staff expressed feeling part of the family led organisation and shared their vision. There were clear systems in place to ensure that the service ran efficiently and safely and regulations were met as required. The service was keen to continuously learn and improve and the provider collaborated with other organisations to increase and improve the provision of live-in care as an alternative to residential care.

People were safe as staff knew the correct procedures to follow if they considered someone was at risk of

harm or abuse. Staff had received appropriate safeguarding training and there were policies and procedures in place to follow in case of an allegation of abuse. The provider had safe recruitment procedures in place and conducted background checks to ensure staff were suitable for their role.

Risks to people were identified and plans put in place to minimise these risks. Guidance was in place for staff so that they could mitigate risk, and support people to take sensible risks as safely as possible. People received their prescribed medicines.

There was clear guidance for staff on how to meet people's individual needs and support them to achieve their goals. Staff treated people with kindness, respect and promoted people's right to privacy.

People were provided with information about how to make a complaint and these were managed in accordance with the provider's complaints policy. The registered provider had informed the CQC of all notifiable incidents.

The five questions we ask about services and what we found