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Archived: Ability Associates Limited - 77 The Street Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 August 2016

Ability Associates Limited – 77 The Street is a care home which provides accommodation and personal care for up to two people with learning disabilities. At the time of our inspection one person was living at the home.

This inspection took place on 28 July 2016 and was announced. We gave the provider short notice of our inspection the day before the visit. This was to ensure we visited the service at a time when people were at home.

There was a registered manager in post at the service. 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 and associated Regulations about how the service is run.

The registered manager had not reported notifiable incidents to the Care Quality Commission. This meant information about risks in the service and the action that was taken to keep people safe had not been shared with the regulator.

The registered manager had taken action to make an application for an authorisation under the Deprivation of Liberty Safeguards (DoLS). However, details of mental capacity assessments and restrictions on the person were not included in their support plans.

The person using the service was positive about the support they received, commenting “ I feel safe here. There is a staff member on duty at all times and someone sleeping in overnight. I get on well with the staff”.

Medicines were safely managed. There were systems in place to protect people from abuse and harm and staff knew how to use them. Staff understood the needs of the person they were supporting.

Staff received training suitable to their role and an induction when they started working for the service. They demonstrated a good understanding of their roles and responsibilities, as well as the values and philosophy of the service.

The provider assessed and monitored the quality of care and took action to address shortfalls that were identified.

We found a breach of the Care Quality Commission (Registration) Regulations 2009. You can see what action we told the provider to take at the back of the full version of this report.

Inspection areas

Safe

Good

Updated 27 August 2016

The service was safe.

There were sufficient staff to meet people�s needs safely.

Systems were in place to ensure people were protected from abuse. People were supported to take risks and were involved in developing plans to manage the risks they faced.

Medicines were managed safely. Staff treated people well and responded promptly when they requested support.

Effective

Requires improvement

Updated 27 August 2016

The service was not always effective.

Information about who made decisions when people did not have capacity to consent was not recorded in support plans.

Staff received training to ensure they could meet the needs of the people they supported.

People�s health needs were assessed and staff supported people to stay healthy.

Caring

Good

Updated 27 August 2016

The service was caring.

Staff demonstrated respect for people who use the service in the way they interacted with, and spoke about, people.

Staff took account of people�s individual needs and supported them to maximise their independence.

Staff provided support in ways that protected people�s privacy.

Responsive

Good

Updated 27 August 2016

The service was responsive.

People were involved in planning and reviewing their support.

Staff had a good understanding of how to put person-centred values into practice in their day to day work and supported people to develop and maintain their skills.

People told us they knew how to raise any concerns or complaints and were confident that they would be taken seriously.

Well-led

Requires improvement

Updated 27 August 2016

The service was not always well-led.

The registered manager had not made notifications to the Care Quality Commission about important events in the service.

The registered manager demonstrated strong leadership and values, which were person focused. There were clear reporting lines through the organisation.

Systems were in place to review incidents and audit performance, to help ensure shortfalls were being addressed.