Brightpath Healthcare Complex Care

At our last inspection on 31 March 2016 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.

Risks for people were identified by staff. Risk management plans contained sufficient information for staff to manage and mitigate those risks. However, people's daily records were not always completed as recommended. Staff followed the provider's infection control policy to reduce the risk of infection.

Medicines were managed and administered safely. There were established systems in place for the administration, storage and disposal of medicines. We found the quality of the medicine administration records were not robust because staff did not always indicate when medicines were given to people. Staff completed training in medicines management and had their competency assessed.

There were established safeguarding systems and procedures in place. Staff understood how to protect people from harm and abuse. Safeguarding training was completed by all staff which helped them to take appropriate action to manage any allegations of abuse. These concerns were reported to a manager and to the local authority for investigation.

Enough staff were available and deployed to provide safe care to people. Safer recruitment processes were used to ensure suitable office based staff, nurses and care workers were employed at the service. Pre- employment checks were returned before staff were approved as suitable to work with people.

Relatives said staff were caring. Staff delivered care, support and treatment in a compassionate manner to ensure people received dignified care while maintaining their privacy.

Staff continued to receive an induction, training, supervision and appraisal. Staff were encouraged to explore and reflect on their jobs.

People were supported to have maximum choice and control of their lives and staff provided care in the least restrictive way possible for people. The provider's policies and systems in the service supported this practice.

Staff asked people for their consent before providing care and treatment. People's choices and wishes were recorded in health and care needs assessments. Care records were completed with and signed by people and their relatives. People were provided with copies of their assessments and care plan so they were aware of the support provided to them.

People had the care and support they needed that valued their levels of independence. This helped people continue their education and to take part in activities they enjoyed. Staff met people's end of life needs when they required this specialist care and support.

Staff completed shopping for people when this was needed. Staff supported people with maintaining their nutritional needs which supported their health care condition and met their preferences.

The provider had a complaints procedure in place. Complaints were managed well and investigated with a written outcome send to the complainant.

The quality of the service was monitored and reviewed. An action plan was put in place to address any concerns found. The manager had developed working relationships with health and social care organisations.

The five questions we ask about services and what we found