Guardian Homecare (Blackburn)

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 told us they were asked permission before undertaking any activity. Staff had received training, spot checks and competency checks which ensured they had the skills to undertake their duties. Assessments for people's needs had been completed and were ongoing. Records detailed people's health needs and people told us staff guided them to seek health reviews where required. People were supported with their nutritional needs as required.

People were happy with their care and were treated with dignity and respect. Most people said their choice of staff gender was provided. The registered manager confirmed the actions they would take if people's preferences were not available.

Care records had been developed to provide information to staff about people's individual needs. Electronic and paper log books with information about daily care provided was seen. Good use of technology was in place. Staff had received further training on end of life care and work was ongoing to develop specific care plans to support people with their end of life needs. A system to manage complaints had been developed. The registered manager provided assurance in relation to a concern which had been raised.

Positive feedback about the registered manager was noted however, not all people knew who the registered manager was. Certificates of registration and the ratings from the last inspection were on display. Audits and monitoring was ongoing and people's views had been obtained. Meetings were taking place and newsletters had been developed.