Care Quality Services Leeds

There were enough staff available to ensure people's care and support needs were met. However, people told us staff did not always arrive on time and were not told in advance of this. People and their relatives told us the same staff did not always support them especially on weekends. The provider recognised this was important to people and told us this was something they would look into. The provider had effective recruitment procedures in place to make sure staff had the required skills and were of suitable character and background. Staff received training which supported them to have the knowledge and skills to do their job well and effectively to meet people's needs.

Safe procedures were in place to make sure people received their medicines as prescribed. However, audits did not always pick any errors in missed signatures. We spoke to the registered manager who put an action in place on the same day. There were system's in place to monitor the quality of the service and make improvements when needed.

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 were supported to access relevant health and social care professionals to ensure they were getting the care and support they needed to best meet their needs. People were treated with dignity and respect. Staff were committed to promoting people's independence. Staff supported people to have enough to eat and drink and to access healthcare services when they needed.

People's care and support was planned and delivered in a way that ensured it met their needs and reflected their preferences. The care records we looked at included risk assessments. They had been devised to help minimise and monitor the risks, while promoting the person's independence as far as possible.

People knew how to complain and were confident the registered manager would resolve their complaint.

People who used the service, relatives and staff could express their views about the service which were acted upon.