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Inspection Summary


Overall summary & rating

Good

Updated 15 November 2016

Hanover supported living service provides support for up to four people living with mental health needs and mild learning disabilities. When we carried out this inspection, four people were using the service.

This inspection took place on 31 October and 3rd November 2016. We gave the provider 48 hours’ notice because the location is a small supported living service and we needed to be sure that someone would be available to assist with the inspection.

People had tenancy agreements and rented their accommodation. The care and housing provider were two separate organisations. The support people received was dependant on their individual needs. The service was staffed 24 hours a day.

This was Hanover supported living service’s first inspection at this location since registering in 2015.

There was a registered manager in post. 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.

Feedback from people using the service, their relatives and professionals was positive. Staff were also complimentary about the support they received from the registered manager.

People’s individual needs and risks had been identified so that staff were accurately informed about how to support people safely.

People using the service told us they felt safe and we saw there were systems and processes in place to protect people from the risk of harm.

People had access to the health care services they needed and were encouraged and supported to seek medical treatment where needed.

There were enough staff to meet people’s care and support needs and the provider carried out checks on staff before they worked with people using the service.

The provider had systems in place to gather the views of people using the service and others.

The provider had a policy and procedures for people using the service and others about how to make a complaint.

People's individuality and diversity was taken into account. People were supported to access their local community and take part in social and recreational activities of their choice. People were supported to build and maintain social relationships so they led fulfilling lives.

Arrangements were in place for the management of medicines and staff had been trained and assessed as competent in medicines administration.

Staff had access to the training and support they needed.

The Mental Capacity Act (2005) had been appropriately applied and the best interest decision making process followed to ensure decisions about people's care were made collectively by more than one person.

The provider had systems to monitor the quality of the service that people received and to make improvements.

Inspection areas

Safe

Good

Updated 15 November 2016

The service was safe.

The risks associated with people's support were assessed and reviewed to ensure they were accurate and relevant to the person.

People using the service told us they felt safe. Staff were aware of the reporting procedures if they had any concerns.

The provider carried out checks to make sure staff were suitable to work with people using the service.

There were enough staff to meet people's needs.

Safe arrangements were in place for the management of medicines and staff had been trained and assessed as competent in medicines administration.

Effective

Good

Updated 15 November 2016

The service was effective.

Staff had the skills and knowledge they needed to support people using the service.

The management and staff had an understanding of the Mental Capacity Act 2005 and we saw no examples of people being deprived of their liberty unlawfully.

People were supported with food shopping and cooking. Staff encouraged people to eat a varied and balanced diet.

People had access to the health care services they needed.

Caring

Good

Updated 15 November 2016

The service was caring.

People using the service, relatives and professionals told us staff were kind and caring.

Staff told us they enjoyed working in the service and understood people’s individual needs.

We saw staff interacted with people in a caring and friendly way and listened to people giving them the opportunity to make decisions about what they did each day.

Responsive

Good

Updated 15 November 2016

The service was responsive.

People using the service were involved in the development of their care plan which recorded their needs and the level of support they required.

Staff understood people’s likes and dislikes and supported people to access community places.

People and relatives felt able to raise concerns and complaints to the registered manager. There was a policy and procedure for people using the service and others about how to make a complaint.

Well-led

Good

Updated 15 November 2016

The service was well led.

The registered manager was experienced in supporting people with mental health needs. There were also visible and enthusiastic about providing a good quality of life for the people using the service.

There were clear arrangements for the day to day management of the service and there was a structure in place so that staff understood what was expected of them each day.

There were arrangements in place to monitor the quality of the service.