Allcare Nurses Agency Limited

Right Support: Model of Care and setting that maximises people's choice, control and independence

People told us they felt safe and staff knew what to do if abuse was suspected. Staff had received safeguarding training. Risks were assessed. 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. Care records identified that people's capacity had been considered. People and relatives told us they had agreed to their care.

People told us they had been involved in peoples assessments and professionals were positive about the care the service provided. Activities were being supported to most people. Some people told us more consistency with visits would increase access to activities. Care records were in place and records of daily care provided was completed. People told us they had been involved in the development and reviews of care plans.

Right Care: Care is person-centred and promotes people's dignity, privacy and human rights

We made a recommendation in relation to recording of medicines. Some people said that there was sufficient staff in place.

People's individual care needs were met and they were treated with dignity. People were positive about their care. The nominated individual told us about the actions they had taken as a result of the concern raised by one person. Staff told us they felt people received good care.

The service worked in partnership with professionals to achieve good outcomes for people. Guidance, policies and information was available to support continuous learning and improvements.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

Training, supervisions, spot checks and competencies had been completed. Most people told us they were confident in the skills of the staff. The deputy manager and nominated individual confirmed the actions they had taken to monitor, support and provide extra training for a staff member. We received mostly positive feedback about the service. Policy and guidance was available to deal with complaints. People's views were sought and team meetings were undertaken.

People were positive about the management and the staff team. The nominated individual told us they had commenced the recruitment process for a new manager.

Audits had been completed but they required more detail to demonstrate what had been reviewed and the actions taken as a result. The audits did not always identify the findings we found at this inspection. The nominated individual provided evidence of more detailed audits and the actions they were taking to ensure they were more robust.