Your Dom Care Limited

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Medicines were managed safely and in accordance with current regulations and guidance. There were systems in place to ensure that medicines had been stored, administered, audited and reviewed appropriately.

People were happy and relaxed with staff. They commented they felt safe and there were sufficient staff to support them.

When staff were recruited, their employment history was checked and references obtained.

Checks were also undertaken to ensure new staff were safe to work within the care sector.

Risks associated with people's health and their environment had been identified and managed.

Staff were knowledgeable and trained in safeguarding adults and what action they should take if they suspected abuse was taking place.

Staff had a good understanding of equality, diversity and human rights.

The registered manager and staff had received training in the Mental Capacity Act 2005 (MCA).

Accidents and incidents were recorded appropriately and steps taken to minimise the risk of similar events happening in the future.

Staff had received essential training and there were opportunities for additional training specific to the needs of the service, including the care of people with dementia and palliative care (end of life).

Staff had received both supervision meetings with their manager, and formal personal development plans, such as annual appraisals were in place.

Healthcare was accessible for people and appointments were made for regular check-ups as needed.

People told us they felt well looked after and supported. We observed friendly relationships had developed

between people and staff.

Care plans described people's preferences and needs in relevant areas, including communication, and they were encouraged to be as independent as possible.

People's end of life care was discussed and planned and their wishes had been respected.

Staff were asked for their opinions on the service and whether they were happy in their work. They felt supported within their roles, describing an 'open door' management approach, where managers were always available to discuss suggestions and address problems or concerns.

The provider undertook quality assurance reviews to measure and monitor the standard of the service and drive improvement.

The five questions we ask about services and what we found