Four Hills Care Limited

People told us they felt safe and staff had been trained in safeguarding. Staff understood how to report any concerns and management had worked with the local authority safeguarding team when needed. People had their medicines as prescribed and there was guidance for staff to know what support people needed. We have made one recommendation about 'as required' PRN medicines needing more details.

People knew how to complain and told us they would if they needed to. People had care plans which gave guidance on how they wanted to be cared for. These were reviewed regularly. Care plans were electronic, so staff could access them at any time. People and relatives could also access their records when they wished.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People's consent to their care package was recorded in their care plans.

Staff had been recruited safely. Staff told us they enjoyed their work and felt supported in their roles by the management team. There was good teamwork and staff told us they all supported each other when needed. Team meetings were held regularly so staff could share information.

Quality monitoring systems were in place and were effective at identifying improvements. The service worked in partnership with many healthcare professionals. There was guidance for staff to know about people's health needs in their care plans. We have made a recommendation about information provided to staff on knowing how to support people's diabetes.