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Inspection Summary


Overall summary & rating

Good

Updated 27 April 2016

The inspection took place on 12 March 2016 and was announced. The service was last inspected 4 March 2014 and was found to be meeting the requirements of the law at that time.

Market Place is a small home divided into two flats which provides care and support for two young people. The home is run by Step-a-Side Care and is located in the community and with good access to local amenities. The service had a registered manager in place. 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.

The service aims to support young adults to develop independence skills to enable them to move on to more independent living settings. They provide one to one care for young people living at the service and work closely with the young people’s social workers, family and health professionals whilst they are living at the service. It was clear when entering the service that you were in the young people’s home. Support was delivered in a person centred way and took account of the young people’s views and preferences. The young people were involved in all aspects of the support that they received and took part in regular reviews of their placement at the service. One person said 'I am involved in my review meetings and sometimes I get to chair them'.

The young people were supported to be part of their communities. One person attended college and the other had applied for a training placement. There was an on-going programme of activities for the young people both in the service and out in the community. One person told us 'we get to do lots here, horse riding, trampolining and going to the gym.'

The service provided the young people with a supportive and therapeutic environment, which aimed to develop the young people that used the service. Clear boundaries were agreed and set with the young people. Professionals involved in working with the young people commented on how well the staff team maintained these boundaries in a consistent way. This provided the young people with the structure to their lives, which allowed them to take more responsibility for their actions and behaviour. Professionals and a relative we spoke with told us that this helped the young people to improve their behaviour and become more self-confident and independent.

The provider ensured that the staff team working at the service were well trained and supported effectively to carry out their roles. Staff told us that they felt valued by the provider and this was reflected in the low turnover rate of staff working at the service.

The service was well managed and care records were maintained and kept up to date. The registered manager ensured that any incidents which occurred were discussed in debrief meetings held shortly after them. During these meetings staff involved examined what occurred during the incident and how they could be prevented or better managed in future. The registered manager worked hard to ensure that the service kept on learning from experiences and improving.

Inspection areas

Safe

Good

Updated 27 April 2016

The service was Safe

Young people were protected from abuse as the staff team had received training which ensured that they were aware of the different types of abuse and how to respond and report concerns appropriately.

The service had effective recruitment procedures in place to ensure that unsuitable staff were not employed to support the young people living at the service.

Robust risk assessments were in place and staff were aware of actions to take which ensured that potential hazards to the young people were reduced.

Effective

Good

Updated 27 April 2016

The service was effective.

Young people benefitted from being supported by a consistent, well trained and supported staff team.

Young people were supported by staff to be fully involved in choosing, cooking and preparing their meals.

The service worked well with other professionals involved in the support of the young people living at the service.

Caring

Good

Updated 27 April 2016

The service was caring.

Young people were supported to be fully involved in decisions about their care and support.

Young people's confidentiality was maintained by records being stored securely.

Staff had a good knowledge of the young people they were supporting and had developed caring and supportive relationships with them.

Responsive

Good

Updated 27 April 2016

The service was responsive.

Young people's needs were assessed before they moved into the service to ensure that the service was able to meet them.

Support provided was regularly reviewed with the young person, staff and professionals involved in their care and support. When changes in people's needs were identified, support provided was adjusted to ensure these needs were met.

The young people benefitted from access to a wide range of activities both in the service and the community.

Well-led

Good

Updated 27 April 2016

The service was well led.

The service had a registered manager in place.

Systems were in place to assess and monitor the quality of service provision.

People benefitted from a staff team that worked well together and was led by a registered manager that strived to improve the service.