Chapter Care (North Devon) Limited

At the previous inspection we found recruitment needed some improvements. At this inspection we saw recruitment checks were fully implemented to keep people safe. Staff understood how to keep people protected from risks and what and who to report any concerns to. Medicines were being managed safely and staff had training and support to ensure they completed this safely and effectively. Medicine records were monitored. There had been a recent safeguarding issue in relation to missed medicines, but this had been resolved.

Staff were knowledgeable and understood people's needs, wishes and preferences. Staff had training and support to do their job effectively.

Where people needed support to prepare and eat meals and drinks, this was clearly indicated within care plans. Daily records showed what support people had received each day, including what drinks, food and snacks had been given or left for the person to have later.

There was sufficient staff for the number of visits required. This was closely monitored by the coordinators and care manager. New packages of care were only taken on if there was staff available to do this.

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 protected because risks had been assessed and any measures needed to mitigate these were fully documented.

People were supported where needed to maintain good nutrition. People's health and emotional wellbeing was closely monitored and responded to when needed. Staff were knowledgeable about people's needs and wishes. People were treated with respect and their dignity and privacy was upheld. The service had an open and inclusive culture, complaints were taken seriously. People and staff voice mattered, and the registered manager looked for ways to capture this. There were quality assurance systems in place to assess, monitor and improve the quality and safety of the service provided.