Background to this inspection
Updated
23 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 3 February 2022 and was announced. We gave the service one days’ notice of the inspection.
Updated
23 February 2022
People’s experience of using this service:
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People were free to leave the home when they wanted, there were no restrictions in place.
People told us staff talked to them about how to stay safe in the home and in the community. They told us if they had any concerns they would talk with staff. Staff were knowledgeable about safeguarding and how to report their concerns internally and externally to local safeguarding authorities.
People told us they knew what risks were involved when they were in the home, doing activities or accessing the community. Risk assessments were in place to identify possible risks to people`s health and well-being and measures were implemented to manage the risks.
There were enough staff to meet people`s needs.
Care plans were well developed and personalised to give guidance to staff on how to support people effectively. People were encouraged to eat a health balanced diet. They had regular heath checks and staff supported them to attend their regular health appointments.
People told us staff were kind and caring and helped them. People`s personal information was kept confidential.
People were involved in discussions about their care and had regular meetings with their allocated staff member to review their mental health.
Staff received training in subjects considered mandatory by the provider and had further opportunities to develop their skills and knowledge.
People`s dignity and privacy was promoted and respected by staff. Staff enabled people to maintain and develop relationships and stay safe.
People were encouraged to engage in activities, pursue hobbies and interests and socialise. Opportunities were created by the provider for people from all their services to get together regularly and participate in workshops they were interested in.
The provider`s governance systems and processes were effective and identified areas of the service where improvements were needed. The registered manager and the provider completed regular audits to ensure the service provided to people was effective and safe.
Rating at last inspection: Requires Improvement.
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service improved to good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.