Addocare Scole is a service that provides support to people in their own homes. At the time of the inspection, ten people were using the service for personal care.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating 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.

Why the service is rated good.

Staff understood how to protect people from the risk of abuse and avoidable harm. There were enough staff available to provide support to people when they wanted it. Staff knew how to protect people from the risk of infection however, improvements are required so the provider can be sure that people have received their medicines correctly.

People had a say in how their care was to be delivered. They were listened to and their opinions respected and they were supported to have maximum choice and control of their lives.

Staff had received relevant training and supervision to make sure they provided people with safe care that met their individual needs. The provider had established good relationships with other health and social care professionals to ensure people were supported with their healthcare and to maintain their independence.

The provider and staff were kind and caring. They provided people with compassionate care at all times, including at the end of people’s lives. People were treated with respect and their dignity was upheld.

Good leadership was in place. This had resulted in the staff being well supported and happy in their work. The provider had instilled a culture within the service where the person was treated as an individual and was respected.

The provider was keen to continually improve the service where they could. They had systems in place to monitor the quality of care provided and were open to suggestions for improvement.

We have made one recommendation regarding the provider becoming more familiar with the Accessible Information Standard. This is a standard that is in place to improve how care services provide people with information where they require support with their communication needs.

Further information is in the detailed findings below.

Addocare Scole is registered to provide personal care to people living in their own homes situated in villages in Norfolk and Suffolk. During this inspection we were told that ten people were being provided with personal care.

The service had a registered provider who was also responsible for managing the service. A registered provider is a person who has registered with the Care Quality Commission (CQC) to manage and provide the service. 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.

This announced comprehensive inspection was undertaken on 14 April 2016.

Staff were only employed after the provider carried out satisfactory pre-employment checks. Staff were trained and well supported by their managers. There were sufficient numbers of staff to meet people’s assessed needs.

Systems were in place to ensure people’s safety was effectively managed. Staff were aware of the procedures for reporting concerns and took action to reduce the risk of people experiencing harm.

People’s health and personal needs were effectively met. Systems were in place to safely support people with the management of their medicines. People received their prescribed medicines appropriately.

The provider was acting in accordance with the requirements of the Mental Capacity Act 2005 (MCA) and staff had received training and had an understanding of the MCA.

People received care and support from staff who were kind, caring and respectful. Staff respected people’s privacy and dignity and provided care in accordance with people’s preferences.

People were encouraged to provide feedback on the service in various ways both formally and informally to ensure that they were receiving the care and support they required. People, and their relatives, were involved in the assessments and reviews of care and support. Care plans were in place to meet each person’s needs.

The provider had processes in place to monitor the quality and safety of people’s care. The provider had an effective quality assurance system in place.to monitor the quality of the services provided for people and to gather their opinions of the care and support that was provided.

People felt listened to by the staff and said that the provider and care staff were approachable and supportive.