Care Horizons Limited

People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care: Staff recruitment required improvement. We found the provider had not always followed safe recruitment procedures, which included reviewing past work history. Not all staff had completed an application form. We found no evidence that people had been harmed.

There were sufficient staff to support people with their care and support needs. Recruitment was ongoing and no new packages of care would be commissioned unless sufficient staff were available to support the person.

People had individual plans of care based on their needs and wishes. These were reviewed with the person to ensure the care was appropriate. Staff provided personalised care and support, enabling people to continue to live in their own homes. Relatives spoke positively about the support that was being provided.

Right Culture:

The governance systems in place did not always ensure all documentation was in one central place to demonstrate staff had been recruited safely. Where audits had been completed it was not clear what had been checked and what action had been taken to address the gaps or missing documentation in respect of staff recruitment.

The provider promoted a positive culture, staff felt supported and there was evidence of regular communication with staff, people, and their relatives. Staff spoke positively about the support from the management team.