R&S Medical & Allied Services Limited

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good.

People using the service and their relatives informed us that they were satisfied with the care and support that people received. People received consistency of care from staff who they knew.

People using the service told us that staff treated them with respect and they felt safe when staff supported them with their care and other tasks. They told us that staff were reliable, respected their privacy and understood their needs.

Arrangements were in place to keep people safe. Staff knew how to identify abuse and understood their responsibilities in relation to safeguarding people and reporting all concerns.

Risks to people's safety were identified and monitored.

Arrangements were in place to make sure people received their medicines as prescribed.

Appropriate checks were carried out before staff started to work to make sure they were suitable to work with people using the service. The provider ensured that there were enough staff in place with the right skills mix to meet people's needs.

People and where applicable their relatives, were fully involved in making decisions about people's care. Staff respected the choices people made and supported people's independence. Staff understood the importance of obtaining people's agreement before supporting them with personal care and other tasks.

Staff received training which was relevant to their role. They received ongoing support from the registered manager and office manager.

People's care plans included information about the care people needed and wanted, so staff had the necessary information to effectively meet each person's individual needs.

The service was flexible and responsive, so changes in people's needs and preferences were met.

Staff had a good understanding about people's equality and diversity needs and knew the importance of respecting people's differences and human rights.

The service liaised with healthcare and social care professionals to make sure people's needs were met.

People, their relatives and care staff told us they thought the service was well run and would recommend it.

There were systems in place to check, monitor and develop the service. We found some quality monitoring records could be developed to better show the effectiveness of the quality checks that the service carried out. Action to address this was commenced by the registered manager and the office manager during the inspection.

The five questions we ask about services and what we found