Anchusa Care

People and relatives were at the centre of decision making about their care. People and their relatives valued the relationships formed with staff and said this had a huge positive impact on theirs and their relatives' lives.

People told us that they felt safe with staff. Staff understood risks to people's care and what they needed to do to reduce the risks of injuries to people. Staff had received training in how to safeguard people and what they needed to do if they suspected abuse. Before staff started work checks were undertaken to ensure that they were suitable. There were sufficient numbers of staff employed at the service and systems were in place to ensure there were no missed calls to people. People's medicines were managed in a safe way by staff. Staff followed best practice with regards to infection control.

Staff received a detailed induction before starting work. All staff spoken with said they felt supported, and continuous training supported them to deliver high quality care. Staff competencies were reviewed regularly through spot checks and meetings with their line manager.

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 were supported in line with their dietary needs. Staff monitored people's health and immediately referred to the relevant health professionals. Regular reviews were undertaken and any changes to people's needs were actioned by staff.

The provider had a clear and accessible complaints procedure. Some further development was required around end of life care.

Systems were in place which monitored the quality of people's support. The systems were responsive and had led to changes being made during this inspection. The provider was proactive with regard to how people's support could be improved following feedback regarding the quality of care records, call monitoring and consent. Every person, relative and staff member told us the provider was approachable, supportive and that they felt the service was well managed.