Health and Social Care Services Ltd

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People told us they felt safe when receiving care, some people were supported to meet their nutritional and hydration needs by staff who were following advice given by dieticians. Medicines were safely managed, and staff contacted healthcare professionals when required. Infection control measures were in place and staff told us they had sufficient personal protective equipment to protect themselves and people from infection.

Staff were caring and spoke very fondly of the people they supported. They knew people well and spoke respectfully about them. People and their relatives were listened to and their choices were respected. Where people did not use words to communicate, care records included information about how they expressed their needs, choices and preferences.

People told us they had been involved in care planning, care plans reflected people's individual needs and choices. People's risk assessments and risks relating to their home environment were detailed and helped reduce risks to people while maintaining their independence. Staff were responsive to people's needs.

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.

People had regular contact from the registered manager, clinical nurse managers who undertook some care calls and completed assessments and initial visits for new people. People and staff were confident the registered manager would listen to them and take any necessary action should the need arise.

The provider had good oversight of the service. Systems of daily, weekly and monthly meetings and quality assurance checks and audits were in place.

A second registered manager was recruited to the service this was to enable a registered manager to work in the community and the other in the office when needed.