Amber Healthcare Services Ltd

There was a registered manager 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 2008 and associated Regulations about how the service is run.

People were protected from the risk of abuse because staff were trained in safeguarding and knew how to safeguard people against harm and abuse. People and their relatives told us they felt safe with staff. Risk assessments were detailed and provided staff with information to mitigate risks. There was a process for logging accidents and incidents. People were protected from the risk of infection because staff wore personal protective equipment when delivering care. Medicines were administered safely. Protocols for managing PRN medicines were required. We have made a recommendation about the management of PRN medicines.

Staff undertook training and received regular supervision to help support them to provide effective care. The service was compliant with the requirements of the Mental Capacity Act 2005 (MCA) and staff understood the importance of asking people's consent before providing care.

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. People's nutritional needs were met.

The service worked in partnership with other health and care professionals to meet people's health needs. Health and care professionals and relatives spoke highly of staff and their skills.

Relatives told us that their relatives were well treated and the staff were caring and kind. People's needs were assessed and their individual needs met. People's cultural and religious needs were respected when

planning and delivering care. Discussions with staff members showed that they respected people's sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service. People participated in activities of their choice. The service had a complaints procedure in place. Although there was no one receiving end of life care the service had an end of life policy in place.

Staff told us the registered manager was approachable and supportive. There were systems in place to monitor the quality of the service.

The five questions we ask about services and what we found