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Scarborough & District Mencap Good

Inspection Summary


Overall summary & rating

Good

Updated 6 October 2017

This inspection took place on 4 August 2017 and was announced. The provider was given notice because we needed to be sure that someone would be available at the office location to answer our questions and access records

Due to the complex communication needs of people who used the service, we were unable to speak with them via the telephone. We contacted relatives on 7 August 2017 to ask their views of the service provided.

Scarborough & District Mencap registered with CQC in January 2011 for the regulated activity of personal care. The office is based in Scarborough. They are an independent charity that provide support to children and adults with learning disabilities. There were four services provided at the location. A day service for younger adults called Discoverers, a day service for older adults called Day care, a service that offered 2:1 or 2:1 support to people in the community or at the day centre called Flexi-support and a service for children who require 1:2 or 2:1 support called Flexi-care. Each service had a manager who was responsible for the day to day management which was overseen by the registered manager. At the time of this inspection, there were 20 people who were receiving support with personal care.

The four services were based at a day centre in Scarborough and provided people with the opportunity to participate in a range of activities and outings into the community. Evening activities such as a disco and a drama club were available which encouraged people to meet with friends and enjoy an active social life.

At the last inspection in June 2015, we rated the service as Good overall but identified that improvements were required in the well-led domain. We found that quality assurance systems that were in place needed to include a wider range of checks to ensure people were protected. At this inspection, we could see that further quality assurance systems had been implemented by the development manager for some areas of the service but this had not been cascaded throughout the service.

The service had a registered manager. 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 registered manager, who was also the CEO, was present throughout this inspection.

Recruitment procedures had been followed to ensure staff were safe to work and did not pose a potential risk to people who used the service. Interviews were recorded and records showed that the provider ensured new staff were suitable for the role before an offer of employment was made.

Medicines were managed and stored safely. When people required their medicines to be administered by staff, appropriate documentation and risk assessments were in place. Records showed that medicines had been administered as prescribed.

Safeguarding concerns had been managed appropriately. A safeguarding policy was in place to protect people from the risk of harm. All staff we spoke with were aware of the procedure to follow if they suspected abuse was taking place.

Risk assessments had been developed and were in place for people who needed them. They had been regularly updated to reflect people’s current needs .The service promoted positive risk taking and risk assessments recorded how this was to be managed safely. People were not restricted and their independence was promoted.

Relatives told us they trusted staff and felt people were safe in their care. New staff were given the opportunity to work alongside senior staff to build relationships with people.

Staff demonstrated good knowledge and understanding of the requirements of the Mental Capacity Act 2005. Staff were aware of the procedure to follow if they suspected a person lacked capacity to make decisions an

Inspection areas

Safe

Good

Updated 6 October 2017

The service remains Good.

Effective

Good

Updated 6 October 2017

The service remains Good.

Caring

Good

Updated 6 October 2017

The service remains Good.

Responsive

Good

Updated 6 October 2017

The service remains Good.

Well-led

Requires improvement

Updated 6 October 2017

The service was not always well-led.

Quality assurance systems had been implemented by the development manager for some areas of the service but this had not been cascaded throughout the service.

Staff were kept informed about the operation of the service through regular staff meetings.

Feedback was sought from relatives and peoples through regular meetings and discussions.

The registered manager had a good understanding of their role and responsibilities.