Care Options

People’s needs were assessed prior to any packages of care being agreed and planned. The assessments were kept updated and helped leaders produce a care plan. Staff had access to information on people’s needs on an electronic care planning system.

If people needed help to access healthcare, staff contacted professionals and organised appointments. Systems were effective for staff to communicate with each other about people’s changing needs and any events or incidents. Staff understood the principles of the Mental Capacity Act 2005 and the importance of obtaining consent. People signed consent forms prior to any service starting.

Risks to people’s safety had been assessed and there was guidance for staff to know what care and support to provide. However, some risk management plans lacked details in some areas, particularly around health conditions such as diabetes. Leaders regularly contacted healthcare professionals when needed and staff knew early signs of general ill health.

Medicines were managed safely. People had medicines administration records which staff signed when administering medicines. Details of medicines support were recorded in people’s care records and staff had training on medicines management. Leaders had completed some observations of staff administering medicines, however, there were no details recorded of what was observed and whether staff were competent.

Staff were recruited safely and new staff had an induction when starting work. Refresher training was provided and staff said they could ask for any further training if needed. The provider had systems to support staff wellbeing and promote equality, diversity and inclusion amongst the workforce. Staff told us they felt well supported and enjoyed their work.

Governance systems were effective to help the provider assess quality and safety. People, relatives and staff were asked for their views on the service regularly. Unannounced quality checks were completed and leaders telephoned people to make sure they were happy with the service. There was a registered manager in post who was also the owner. Day to day management was being completed by an administrator and manager.