Safehands Homecare

People's experience of using this service: Issues found under the safe and well-led domains at the last inspection, relating to staff recruitment checks, recording of medicines administration and governance of the service had been addressed.

Recruitment processes had been improved and checks were in place to ensure staff were suitable to work in a care environment. People's medicines were administered as prescribed and recorded appropriately. The registered manager demonstrated an open and honest approach which supported staff to understand the values of high quality person-centred caring. Some audits to monitor the quality and safety of the service to drive improvements, were being developed and enhanced.

People were protected from avoidable harm and abuse by staff who could identify and report safeguarding concerns. People received assessments and support and staff followed guidance where risks were evident to keep people safe.

People told us they received their services on time and that staff were appropriately trained to meet their needs. An induction was completed by new staff and annual training supported staff to enable them to carry out their role effectively. Some specialist training specific to people's individual needs had been sourced through the local hospice and the community district nursing team.

Staff could tell us how they built trusting relationships with people. Comments from people confirmed that staff maintained their dignity, privacy and promoted their independent living skills.

Staff understood their responsibilities in relation to the mental capacity legislation. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Care plans had been reviewed and updated to contain more person-centred information. The registered manager advised this was a 'work in progress' to ensure all personalised information was captured. Staff could identify when people required additional input from health professionals and followed any advice to meet people's specific needs.

People were supported by staff to attend health care appointments and encouraged to participate in activities and events in their local community. Not all people had end of life care plans in place to ensure their wishes were respected. This was an area the provider had identified for further development and had arranged end of life care training for all staff with the local hospice.

Complaints had been addressed in line with the providers policies and procedures. People told us they knew how to make a complaint and would be confident any concerns would be addressed.