APT Care Nottingham

People felt safe and were protected from the risk of abuse. Staff understood the principles of safeguarding and how to raise concerns if there was a need to. Appropriate referrals were made where concerns had been raised and staff and management worked together to ensure people were kept safe and to minimise further risk.

People’s risks were identified and managed appropriately. People and relatives were involved in care planning to ensure care plans were person centred. Care plans and risk assessments contained specific information to guide staff on how to support people safely; these were regularly reviewed. Medicines were administered safely staff received training and competency assessments in this area.

Staff were recruited safely. Records showed pre-employment checks and a Disclosure Barring Service (DBS) check were undertaken prior to staff starting employment. Disclosure and Barring Service (DBS) checks provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions.

There were enough staff to meet the needs of people using the service. Staff and relatives felt there were enough staff to support people safely. Staff received appropriate training which ensured they had the right knowledge and skills to support people safely. Management also completed competency assessments with staff to ensure staff continually remain competent in their roles.

People's needs and choices were assessed prior to admission. Care plans were formulated involving people and their relatives which were reviewed regularly . We saw detailed holistic assessments for people, which included input from people, thier families and healthcare professionals. This meant staff had detailed information to support people, which meant people’s care and treatment were effective in line with best practice standards. Assessments were reviewed regularly, and care plans were kept up to date.

The provider regularly sought feedback from people and their relatives to continually improve the care they delivered. Quality monitoring processes were in place to achieve this, for example, quality monitoring calls to people and effective handovers.

People were treated with kindness and dignity. Individual preferences and wishes were understood and respected by staff and people were supported in a kind and caring way. Staff promoted people’s independence and people had choice and control to make decisions about how they wished to be supported.

Staff treated people as individuals and interactions with people were meaningful which meant staff developed positive relationships with them.

Care plans included very detailed information about people's unique preferences and interests. Information also included specific guidance for staff to follow on responding to people’s immediate needs. Staff knew people well which meant people’s individual needs were met promptly in a person-centred way.

People were at the centre of their care and treatment choices, and decisions were made in partnership with them on how to respond to any relevant changes in their needs. People’s preferences and wishes were met, and staff were responsive to people’s needs in a timely manner.

People were involved in planning and making decisions about their care and treatment this meant care was centred around people and their specific needs. People received person-centred care and were treated with dignity and respect.

People felt they were listened to and felt comfortable to share feedback or raise concerns to the proivder. The provider had implemented processes to make it easier for people to provide feedback and raise complaints.

Management and staff were clear about their roles and responsibilities and there was an effective governance process and system in place. The registered manager had clear oversight of the service and was able to promote good person-centred care. The leadership team provided a compassionate, capable and inclusive leadership team which supported staff to carry out their roles to a high standard.

The provider fostered an open culture and staff felt confident in approaching management if there was a need to. The provider focused on learning, improvement and innovations to ensure care standards were maintained.

The registered manager had ensured statutory notifications were consistently submitted to stakeholders as required. There were quality assurances processes in place and any feedback given was acted upon. The management team were experienced and capable which provided a well-led service.