Altonian Care Ltd

At our last inspection we rated the service good overall, but requires improvement in the key area of safe, where we found one breach of the regulations. At this inspection we found the evidence continued to support the overall rating of good, the breach had been met and now the key area of safe is also judged to be good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The provider operated safe recruitment processes. People received continuity of care from regular staff. Systems were in place to monitor the capacity of the service to provide people's care and relevant actions had been taken to ensure people received their care safely, when there was pressure on staffing capacity.

Staff had undertaken relevant training and processes were in place to safeguard people from the risk of abuse. Risks to people had been assessed and managed to ensure their safety. Processes were in place to ensure people received their medicines safely from trained staff. People and staff were protected from the risk of acquiring an infection. Staff understood the requirement to report any concerns to the provider. Where required, investigations were completed and improvements to the service made for people.

People's needs had been assessed and their care was delivered in accordance with current legislation and guidelines. People were supported by staff to eat and drink sufficient for their needs and to ensure their health needs were met. Staff could provide end of life care to people as required. Staff were supported to provide effective care to people through the provider's induction, training and supervision processes.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People received responsive and adaptable care that was tailored around them and their interests.

People were treated by staff in a caring manner and provided with the emotional support they required. People were encouraged to express their views and to be actively involved in decisions about how they wanted their care provided. People's privacy, dignity and independence were respected and promoted by staff.

There was an open culture and clear values which underpinned the delivery of peoples' care. There was a registered manager to run the service who understood their legal responsibilities. Processes were in place to

seek and act upon people's and staff's feedback and to monitor the quality of the service provided. Processes were in place to enable people to make a complaint and any issues raised were investigated and addressed for people. The service worked in partnership with other organisations to ensure people received high quality care.

Further information is in the detailed findings below.

The five questions we ask about services and what we found