Ali Gibson Support Limited

At the time of our inspection there were 93 people using the service. However, not everyone who used the service received the regulated activity of personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do receive personal care, we also consider any wider social care provided. There were 23 people receiving personal care at the time of this inspection.

People felt safe when receiving care from the service. The provider completed a range of pre-employment checks to assure themselves staff were suitable to work at the service. Some of these checks needed to be more robust, however the manager agreed to address this issue. There were enough staff employed to meet people's needs. Staff arrived at people's scheduled care visits on time and delivered person-centred care to each person.

Most risks to people were assessed and managed well. Minor improvements were needed to some aspects of the provider's risk assessment processes, to ensure all risks to people were thoroughly considered and mitigated. Accidents and incidents were managed appropriately. People received effective support with their medicines and there were suitable measures in place to prevent the spread of infections.

People's needs were assessed to check the service was suitable for them. People were involved in this process and they told us they received care which met their preferences. People were happy with the support they received with food and fluids. 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.

Everyone we spoke with told us staff were kind and caring. Staff treated people with dignity and respect, and they supported people to remain as independent as possible. People's relatives told us staff were good at communicating with people and this supported them to remain involved in decisions about their care.

The service was flexible and responsive to people's changing needs. The provider had an appropriate complaints procedure in place and people knew how to complain if they needed to. The provider had systems in place to ensure people received compassionate and coordinated support at the end of their lives.

Staff were supported to deliver high quality care. Senior staff and managers closely monitored how the service was being delivered, to help ensure people were receiving safe, good quality care.

The service had an open, transparent culture. People, their relatives and staff all had opportunities to provide feedback about the service. Staff enjoyed their jobs and were all keen to deliver high-quality care. The service worked alongside other professionals to help ensure people received effective care and support.