Clearbury

Updated 21 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection. It took place on 17 & 24 August 20172017 and was announced. We gave the provider 48 hours’ notice because the location was a small care home for younger adults who are often out during the day; we needed to be sure a member of the management team was present.

The inspection team consisted of a British Sign Language interpreter and one adult social care inspector.

Prior to the inspection we reviewed the Provider Information Record (PIR) and previous inspection reports. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed the information we held about the service and notifications we had received. A notification is information about important events which the service is required to send us by law.

We spoke with three people receiving a service and five members of staff, including the deputy manager; regional manager and three care staff. The registered manager was on leave at the time of the inspection. We spent time talking with people and observing the interactions between them and staff. We reviewed two people’s care files; three staff recruitment files, staff training records and a selection of policies, procedures and records relating to the management of the service. We also sought feedback from health and social care professionals to obtain their views of the service provided to people. We received feedback from six professionals, including two social workers; a community mental health nurse; a psychiatrist and an occupational therapist.

Updated 21 October 2017

Clearbury provides residential care with therapeutic support for up to four people between the ages of 16 and 25 who are either profoundly deaf or who have significant hearing loss and complex needs. At the time of our inspection there were four people living at the service.

At the last inspection on 26 May and 5 June 2015 the service was rated Good overall. Safe was rated as Requires Improvement. Improvements were required in relation to the safe management of medicines. At this inspection we found improvements had been made. However we have made a recommendation to ensure good practice is maintained.

At this inspection we found the service remained Good overall.

Why the service is rated good:

People continued to receive a safe service. Staff knew their responsibilities to protect people from harm and abuse. Risks associated with people’s care and support were assessed to help them to remain safe. People received their medicines safely; however we have made a recommendation to promote good practice. Sufficient staff were available at all times to meet people’s needs. Staff were recruited safely to ensure staff were suitable to work with people.

People were cared for and supported by staff who had received training on how to support the person to meet their needs. The registered manager and management team had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to health and social care services was made when required.

People were supported by staff who knew them well and who were kind and compassionate. People’s dignity and privacy was maintained and staff communicated with people in ways that were important to them. People were supported to develop and maintain their skills and were involved in decisions about their support where they could.

People received responsive and personalised care that was based on their needs, preferences and interests. Their support plans were focused on them as individuals and staff had up to date guidance about each person’s preferences and support requirements. People had opportunities to take part in a variety of activities they enjoyed.

There was good management oversight of the service. The provider had systems in place to monitor and provide good care and these were reviewed on a regular basis. Records were well organised, up to date and stored confidentially.