Shabach Health Care Ltd Tameside

All required checks had not been completed prior to staff starting to work at the service. Following the inspection the registered manager told us they had completed a full audit of all staff files and confirmed all records were complete. There were sufficient staff to meet people's needs. Records showed no visits had been missed. People told us staff were usually on time and staff let them know if they were going to be late. People told us they felt safe with staff. Staff had received training in safeguarding people from abuse and procedures were in place to guide staff should they have any concerns. Staff knew how to raise concerns, but not all staff had a good understanding of safeguarding or signs of abuse. Risks to people who used the service were identified and well managed. Risks to staff or people within the environment of people's homes had not been assessed. There were systems in place for the safe administration of medicines. Risks associated with COVID-19, and other infectious diseases, were identified and well managed.

People's needs were assessed prior to them starting to use the service. Detailed care records were in place to guide staff on the care and support people needed. Staff had the training and support they needed to carry out their roles effectively. Following the inspection, the provider arranged additional training for staff regarding safeguarding and MCA to improve their knowledge and understanding. People were supported with their nutritional needs. People told us staff would alert relatives if they were concerned about their health and would contact medical professionals if needed.

People were well treated and their individuality was respected, they told us staff were caring. The provider and staff knew people well. Staff were described as friendly, kind, compassionate and hard working. People told us they were involved in all decisions about their care and support, and staff were polite and respectful and promoted their independence.

People received personalised care that took account of their needs, wishes and preferences. The provider was following the Accessible Information Standard. There was a system for logging and responding to complaints.

There was a range of oversight, quality monitoring and auditing. Detailed spot checks and observations of staff performance were in place. The providers placed great importance on people receiving responsive

person-centred care and support. People spoke very positively about the service provided, the staff and managers. They told us the registered manager and nominated individual ran the service well and were easy to contact and very approachable.