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Archived: Barnsley MBC Learning Disabilities-Domiciliary Care Team Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 21 December 2016

This inspection was announced and took place on 20 and 28 September 2016. The service was last inspected in July 2014 where the provider was found to be complying with all relevant regulations at that time.

Barnsley MBC Learning Disability Services is a supported living service which provides care and support for people with learning disabilities. Care is provided to people in their own homes via tenancy agreements. At the time of this inspection the service provided care to approximately 50 people, some of whom lived on their own, whilst others were accommodated in shared houses.

A registered manager was 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.

People told us they felt safe when supported by staff employed by the service. All staff members had been trained in recognising the signs of potential abuse and how to respond. A safeguarding policy was in place and records showed staff had been proactive in referring any historic concerns to the local safeguarding team.

Risks had been assessed and re-evaluated regularly. People were encouraged and supported to be as independent as they could be, and risks related to independent living had been assessed and mitigating actions identified. Accidents and incidents had been monitored and measures put in place to reduce the likelihood of them reoccurring.

There were enough staff to meet people’s needs. Processes were in place to ensure any staff absences could be covered so people still received their scheduled visits. Robust recruitment procedures had been followed.

Staff had undertaken training in a range of subjects through both online e-learning and face to face practical training. Staff training was monitored to ensure any required updates or refresher training was received on time, so staff skills and knowledge remained up to date. Staff received additional training in relation to people’s specific needs, and their skills were assessed to determine if they were competent to deliver tasks safely.

Care Quality Commission (CQC) is required by law to monitor the application of the Mental Capacity Act 2005 (MCA), and to report on what we find. MCA is a law that protects and supports people who do not have the ability to make their own decisions and to ensure decisions are made in their ‘best interests’. We found the provider was complying with their legal requirements. The manager and staff were able to describe how the principles of MCA were adhered to in daily practice.

People’s nutritional needs had been assessed and specific information provided about how to meet these needs. Food and fluid intake was monitored where necessary. Records showed people’s likes were taken into consideration and that people were involved in choosing and making their own food.

People we spoke with told us they were happy with the care they received. They told us care was planned around their choices and that staff listened to them.

People’s needs had been assessed and specific and detailed care plans had been created to ensure all staff had access to information about people’s needs.

People were encouraged to share their feedback. We saw very positive responses had been received following a survey of people and their relatives in September 2015. The results had been collated and analysed and the responses indicated people were satisfied with the care they received.

The service had received one complaint in the 12 months prior to our inspection and this complaint had been investigated and responded to appropriately and in line with the provider’s complaints policy.

People and their relative’s told us the service was managed very well. The manager shared with us their vision for the cultu

Inspection areas

Safe

Good

Updated 21 December 2016

The service was safe.

The safeguarding policy was followed, and safe recruitment procedures in place to minimise the risk of abuse.

Risks were assessed and mitigating actions identified to enable people to develop their independence whilst minimising risks.

Processes were in place to ensure medicines were managed appropriately.

Effective

Good

Updated 21 December 2016

The service was effective.

The service was operating within the principles of the Mental Capacity Act. People’s capacity to make decisions had been assessed and where appropriate ‘best interests’ decisions were made.

Staff training, supervision and appraisal were up to date to ensure staff had the skills and knowledge to meet people’s needs

People were supported to access health professionals when required.

Caring

Good

Updated 21 December 2016

The service was caring.

Staff knew people and their needs well. We observed people were relaxed around staff, and interactions were positive.

People were encouraged to be independent and to work towards personal goals.

People were invited to attend a ‘tenants group’ to share their views on the service and to meet up with other people in a social setting.

Responsive

Good

Updated 21 December 2016

The service was responsive.

Assessments and care plans were person-centred and specific

People were supported to take pursue their hobbies and take part in activities.

A complaints procedure was in place. We saw complaints had been dealt with in line with this procedure.

Well-led

Good

Updated 21 December 2016

The service was well-led.

There was a system of quality assurance in place, to monitor and improve the service.

A registered manager was in post, people spoke highly of her and the way the service was run.

Staff told us they felt well supported and relatives told us they had no concerns about the quality of the service.