The Hub

This inspection was carried out between 28 and 29 August 2018 and was an announced inspection. This is the first inspection of this service under its current registration. At the time of our inspection there were three people using the service.

The service had a registered manager. 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 received a safe service. Staff knew how to keep people safe and they were knowledgeable of safeguarding procedures. The registered manager's response to accidents and incidents helped reduce the potential for any recurrence. The staff recruitment process helped ensure that the necessary checks were completed before new staff commenced their employment. Enough staff were in post and they had the skills they needed to support people safely. Risks to people were identified and managed well. People's medicines were administered and managed safely.

People received an effective service that took account of their care and support needs. Staff had the necessary training and skills to promote people's independence. 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.

The registered manager used information from regular spot checks of staff's performance to help staff to maintain and improve their skills. Staff enabled people to access community, or other primary, health care services. People were supported to eat and drink sufficient quantities of food and drinks.

People received a caring service that was provided with compassion. Staff ensured people's privacy and dignity was promoted. Staff respected people's rights to be cared for in an unhurried and considerate manner. People who needed advocacy had this in place and this helped ensure people's views were considered and acted upon.

People received a responsive service that helped them to have their needs met in a person-centred way. Suggestions and concerns were acted upon before they became a complaint. Technology was used to help

people to receive care that was timely. Policies and procedures were in place should any person need end of life care as well as support for relatives and staff members if this was needed.

People received a well-led service which they were involved in developing. Their views were listened to, considered and acted upon. Staff meetings and communication systems including a newsletter helped staff to receive updates about the service and people who used it. Staff were provided with regular updates to their training with opportunities to develop their skills. The registered manager had fostered a staff team culture which promoted openness and integrity. Staff were supported in their role, as well as having their views listened to. Quality assurance, audit and governance systems were effective in driving improvements.

Further information is in the detailed findings below.

The five questions we ask about services and what we found