Cumbria Quality Care Limited

This comprehensive inspection was carried out between 16 and 24 January 2019.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and 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.

People said they felt safe with the staff who supported them. Staff understood how to report any concerns. People and staff felt there were enough staff employed to assist people with their agreed care packages. The provider carried out safe recruitment checks to make sure only suitable staff were employed.

Some people were assisted with their medicines where assessments and agreements were in place. Staff had the right equipment and training to assist people in a hygienic way. People's needs were assessed before they began using the service to make sure the right care could be provided for them. Staff said they had good training and support.

Staff assisted people with their nutritional well-being if this was part of their care package agreement. The service worked with other health agencies where relevant.

People's consent and permission was sought and care was only provided with their agreement. People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible; the policies and systems in the service supported this practice.

People and relatives were positive about the caring, friendly and helpful nature of staff. People said they enjoyed good relationships with the staff team and received a good standard of care. Staff treated people with dignity and respect. They helped people to maintain as much independence as possible.

People received care that was based on their individual preferences and needs. They were fully involved in agreeing the plan of their support. People said they received a consistent service from a regular staff team who knew them well. They said the service was responsive to any request for changes and these were easily accommodated.

People, relatives and staff said the management team were open and approachable. People had opportunities to give their views about the service. The provider gave information to people about the service they should expect and the complaints procedure.

The provider had systems in place for auditing the quality of the service and for making improvements. The provider was in the process of reviewing all policies and procedures to make sure they reflected the service provided.

Further information is in the detailed findings below.

The five questions we ask about services and what we found