WILDERCOMBE HOUSE

People felt safe and supported by staff in their homes. Comments included, "The carers are wonderful. I am very happy with them. They keep me safe." A relative commented, "We are so happy with the care [person's name] receives. [Person's name] wouldn't be able to live at home without them. From the start, a really good package of care was put in place, which meets [person's name] needs, he is definitely safe. Cannot fault the carers."

Staff demonstrated an understanding of what might constitute abuse and knew how to report any concerns they might have.

People's individual risks were identified, and risk assessment reviews were carried out to identify ways to keep people safe. Medicines were managed as necessary. Effective infection control measures were in place. The principles of the Mental Capacity Act were adhered to when necessary.

People confirmed that staffing arrangements met their needs. They were happy with staff timekeeping and confirmed they always stayed the allotted time.

Staffing arrangements matched the support commissioned and staff skills were integral to this to suit people's needs. Where a person's needs increased or decreased, staffing was adjusted accordingly.

There were effective staff recruitment and selection processes in place. People received effective care and support from staff who were well trained and competent.

Care files were personalised to reflect people's personal preferences. Their views and suggestions were taken into account to improve the service. People were supported to maintain a balanced diet. Health and social care professionals were regularly involved in people's care to ensure they received the care and treatment which was right for them.

Staff relationships with people were caring and supportive. Staff provided care that was kind and compassionate. People commented: "My carers are wonderful. They are an inspiration" and "The carers are so kind and caring. I cannot fault them. Would definitely recommend Ivybae Care." A relative commented, "The carers are absolutely lovely. They have learnt how to care for dad, they have a lovely rapport. The carers really show an interest in dad and make time to get to know him."

Staff spoke positively about communication and how the registered manager worked well with them and encouraged their professional development.

A number of methods were used to assess the quality and safety of the service people received. The service made continuous improvements in response to their findings.