Break Barriers Nottingham Ltd

Whilst staff worked well with other health and social care professionals once they were involved, the referrals to the external agencies were not always made in a timely manner.

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. However, some mental capacity assessments required further work to ensure they were completed thoroughly and as per the best practise guidance.

The quality assurance systems were not always effective in monitoring the quality of the service. A range of checks were completed; however, they had not identified the shortfalls we found during the inspection. Learning from errors and improving care was delayed at times because the providers response to addressing shortfalls was at times reactive rather than proactive.

People had care plans which reflected their individual needs. When risks to people's health and wellbeing were identified, appropriate mitigating action plans were put in place. Staff knew people's needs and people told us they knew and were comfortable with the staff delivering care and support.

There were enough staff to meet the needs of the people using the service. People received their care visits on time.

People were safe from the risk of abuse. Staff understood what concerns should be reported and knew how to report them.

Staff had received appropriate training to carry out their role safely.

People received support from kind and caring staff. Staff were respectful and promoted people's independence. People and their relatives were involved in decisions about their care, which was regularly reviewed.

People felt the staff supported them with their personal goals and remaining as independent as possible. People's communication needs were recorded in their care plans and staff were aware of how to best communicate with people in their preferred way.

People, their relatives and staff spoke highly about the management. They had confidence in the leadership and felt they could report any issues or concerns.