Salvere Support Ltd

The service is different to most home care services it offers individuals and families a bespoke personal care package to people with complex needs. Employing a team of staff (personal assistants) which can include family members to provide care and support to one individual.

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. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.

Right Care: People received person-centred care from staff who knew them well. The service had enough appropriately skilled staff to meet people's needs and keep them safe.

Right Culture: Staff provided people with care, which met their needs and took account of their preferences. People and those important to them were involved in planning their care. People told us they would recommend the service.

Risks relating to people's needs had been identified and records provided a detailed plan for managing those risks. Medicines were being administered and managed safely. Systems were in place to record accidents and incidents. These were consistently monitored to identify any potential lessons to be learned, themes or trends.

People using the service had an individual designated team of staff working with them. Information in the staff recruitment files was not always completed in full and some needed to include more details to ensure the process was robust. The registered manager and provider completed a full audit of the recruitment files and acted during the inspection to ensure they were completed in full.

Training records demonstrated appropriate, bespoke and relevant training was provided. Referrals were made to other healthcare services where necessary. People and told us they thought the care they received was very good and spoke positively about the staff who supported them.

People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. Concerns and complaints were promptly responded to. End of life care where relevant was done co-working with the community nurses.

Quality monitoring and auditing systems were effective in identifying any need for improvements. There was regular oversight of the safety and quality of the service. People said very positive things about the management and staff and described the service as a 'quality service'.