Sierra Homecare

People's medicines were managed safely. Staff had received appropriate training and had their competency assessed to help ensure they were sufficiently skilled and knowledgeable in this area. Staff had received training in infection control practices and personal protective equipment such as gloves and aprons was provided for them. The management team took appropriate actions following any incidents and learning was shared with staff.

People and relatives praised the kind and caring nature of the staff and management team and were very satisfied with the care and support they received. People said they felt valued and respected by staff and relatives spoke of the peace of mind they enjoyed knowing their family members were so well looked after for by staff who really cared. Staff told us they also felt cared for and were proud of the care and support they delivered.

People received consistent care from a small team of staff. People knew about their care plans and could decide what care and support they needed. People's records were held securely in a locked cabinet within a locked office to help promote confidentiality.

Before care delivery started the provider completed assessments to make sure people's needs could be met by Sierra Homecare. Care plans were developed from these assessments for each person's identified needs. Staff received training and support to enable them to carry out their roles effectively.

Staff and the management team knew people well, were able to promptly identify when people's needs changed, and they sought professional advice appropriately. 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 received care and support as they wished. People and their relatives said they had not had any concerns but would be confident to raise any issues with the management team. The management team

was committed to providing a high standard of care to the people they supported as well as the staff team and understood their responsibilities under the Duty of Candour. People, their relatives and staff members spoke highly of the management team and told us they were always available and supportive.