Right at Home Swindon

At the last inspection in March 2016 the service was rated Good.

At this inspection we found the service remained Good overall. The provider was in a process of making improvements around records and quality assurance. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Further information is in the detailed findings below.

Why the service is rated Good overall:

The provider had quality assurance systems in place to ensure the service was monitored. We received mixed feedback from staff about how supported they were. The registered manager was in a process of addressing these concerns

People remained safe. There were sufficient staff to meet people's needs. The provider had systems in place to ensure, that as far as possible, staff recruited were safe and suitable to work with people. Staff understood how to protect people and how to alert management and authorities if they had any safeguarding concerns. Risk assessments around people's well-being and environment were carried out. People received their medicines as needed. However, we made a recommendation around ensuring the records are consistent and in line with good practice.

The service remained effective. People's needs were assessed prior to commencement of the service to ensure these could be met and people were involved. Staff received ongoing training to carry out their roles and they received supervision. People were supported to meet their nutritional needs and had access to health services as required.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and report on what we find. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the staff at the service supported this practice. People's rights to make own decisions were respected.

The service remained caring. Staff supported people in a compassionate way. Staff protected people's

privacy and dignity. People developed positive relationships with staff and were supported to be as independent as possible.

The service remained responsive. People told us they received the support that met their needs. People and their relatives were involved in care planning process and reviews. The registered manager worked to ensure people's care plans were updated and in date. Complaints were managed in line with the provider's policy and people knew how to complain.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

The provider ensured people's feedback was sought regularly. People knew who the registered manager was and how to contact the office if required. The service was working well with a number of external social and health professionals and we received positive feedback from two professionals.

The five questions we ask about services and what we found