The Office

At the time of our inspection four people were using the service. Of these, two were receiving 24-hour personal care in their own homes and had a range of care needs including learning and physical disabilities.

Based on our review of the safe, effective and well-led key questions, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

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's rights were respected, and staff supported them to be as independent as possible.

Everyone told us the care and support provided by staff was kind, compassionate and personalised. One person described regular care staff as, "The best carers they had ever had," and "Just brilliant." Recruitment was ongoing to ensure there were always enough staff to cover leave and absence.

Staff understood how to respond to concerns about abuse and harm. Staff had been trained to support people with their medicines in a safe way and they understood the importance of good hygiene and the prevention and control of infection.

Staff had the right training and skills to carry out their roles and meet people's needs. They made sure people had enough to eat and drink, and if anyone became unwell, staff knew how to access health care services to support people's health and wellbeing.

There was positive feedback about the registered manager, who people described as approachable and helpful. The registered manager had worked hard and invested in a new electronic records system, to make

a number of improvements across the service since the last inspection.

However, we found some of these improvements were only recent, and more time was needed to implement them fully. This included the completion of a new monitoring audit that would allow the registered manager to check the quality of the service in all the areas that we (CQC) look at when we inspect registered services.