Live Life Well Limited

At our last inspection we rated the service good. At this inspection the service remained good.

Red Hill House is a domiciliary care service which provides personal care and daily support for people who live in their own homes within the local community. The agency is based in Saltney near Chester and is close to public transport routes. At the time of this inspection the service was supporting 12 people with their care and support needs.

The service has 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.

Staff recruitment systems continue to be robust and this ensured that only staff suitable to work with vulnerable people were employed. All staff had completed an induction training and undertaken shadow shifts at the start of their employment. Staff at all undertaken training relevant to their role and completed refresher updates as required. There were enough staff employed to meet the needs of the people supported. Staff received support and service updates through formal and informal meetings and bulletins.

People's needs were assessed prior to them receiving support from the service. Information from the assessment was used to create individual care plans and risk assessments to meet people's needs. These documents included clear guidance for staff to follow to ensure people's individual needs were met. People's needs that related to age, disability, religion or other protected characteristics were considered throughout the assessment and care planning process.

People told us they receive support from regular staff that knew them well. They described all staff as kind and caring. People told us their dignity was respected and their independence was promoted where possible.

The registered provider had an effective medicines management system in place and staff followed best practice guidelines. Staff had all completed medicines training and had their competency regularly assessed. People told us they received their medicines correctly and on time.

The registered provider had a safeguarding policy and procedure in place that staff fully understood. Staff had all completed adults and children's safeguarding training and felt confident to raise any concerns they had.

People told us that staff supported them with their food and drink needs. They described being offered a

choice at all times. Care plans included clear guidance for staff to follow to meet these needs.

The Care Quality Commission is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 and report on what we find. We saw that the registered provider had guidance available for staff in relation to the MCA. Staff had undertaken training in the MCA. People who normally live in their own homes can only be deprived of their liberty through a Court of Protection order (CoP). There were not any people on a CoP order at the time of our inspection.

People and their relatives told us they felt confident to raise any concerns they had. The registered provider had a complaint policy and procedure in place that people knew how to access.

The registered provider had quality monitoring systems in place that highlighted areas for development and improvement at the service. Audits were regularly undertaken and actions were promptly taken to address any areas identified for improvement. Feedback was gained informally through telephone conversations and visits to people's homes.

Policies and procedures were available at the service and these were regularly reviewed and updated. These gave staff clear guidance on all areas of their work role and employment.

The registered provider had displayed their ratings from the previous inspection in line with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The five questions we ask about services and what we found