Start Service - Mansfield and Ashfield Locality

The service had a registered manager who was present during the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This is the service's second inspection under its current registration. In our previous inspection the service received a rating of 'Good' overall. After this inspection, the service has retained this rating.

People were protected from avoidable harm and neglect. The risks to people's safety were assessed and mitigated. There were sufficient staff in place to support people with their reablement. People's medicines were managed safely. Staff understood how to reduce the risks of the spread of infection. Processes were in place that enabled accidents and incidents to be investigated and preventative measures put in place to reduce the risk of recurrence.

People received support in line with current legislation and best practice guidelines. Staff were trained and received supervision of their practice. People were supported to lead healthy lives. Effective relationships with external health and social care organisations were in place to ensure people's health was regularly monitored. 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 support this practice.

People and relatives found the staff to be kind and caring. People felt they were treated with respect and dignity. People's diverse needs were discussed with them. Advocates were made available if people needed further support. People were involved with decisions about their support needs. People's privacy was respected.

People were provided with support in accordance with their personal preferences. Staff understood how to support people. People's support records were reviewed to ensure people's changing needs could be met. No formal complaints had been received since our last inspection, but processes were in place that enabled these to be responded to appropriately. End of life care was not provided.

People, relatives and staff would recommend the service to others. People's views on how to continually develop and improve the service were asked for and acted on. Staff felt valued. Robust and effective quality assurance processes were in place. The registered manager was knowledgeable about their role and carried out their duties effectively.

The five questions we ask about services and what we found