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Inspection Summary


Overall summary & rating

Good

Updated 30 January 2019

The inspection took place on 4 and 7 December 2018 and was unannounced.

Esplanade House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Esplanade House provides accommodation for up to 13 people who have a learning disability. At the time of our inspection, there were 13 people living in the home.

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.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Staff treated people with utmost kindness, respect and compassion. Staff had built exceptionally positive relationships with people and knew what mattered most to them.

Staff went the extra mile to ensure people were supported to maintain relationships with those important to them. The service had built strong, open relationships with people’s families.

Staff were highly motivated and showed dedication to improve people's lives, by supporting them to lead their lives as they wished. The service was committed to promoting people's independence in all aspects of day to day life.

People felt safe living at Esplanade House. Staff knew how to keep people safe and how to identify, prevent and report abuse. They engaged appropriately with the local safeguarding authority.

Thorough staff recruitment checks were carried out when a new staff member started working for the service. There were enough staff available to keep people safe at all times.

Individual and environmental risks were managed effectively. Risk assessments identified risks to people and provided clear guidance to staff on how risks should be managed and mitigated.

There were robust systems in place to ensure the safe management of medicines. People were supported to receive their medicines by staff who had been trained appropriately and medicine administration records were completed accurately.

Staff received a variety of training and demonstrated knowledge, skill and competence to support people effectively. Staff were supported appropriately by the registered manager and deputy manager.

People had access to health and social care professionals where required and staff worked together co-operatively and efficiently.

Staff were knowledgeable of the Mental Capacity Act 2005 and people’s rights were protected in line with the Act at all times.

People were supported by staff with their nutritional and hydration needs. People were offered choice at mealtimes and menus contained a variety of nutritious and healthy foods. Where people had specific dietary requirements, this was well documented and staff were aware of how to meet these needs.

People received personalised support in line with their wishes and preferences. Staff ensured that people received consistent care.

People’s communication preferences were explored and documented to ensure that staff were able to meet people’s needs. The service had used forms of technology to develop positive communication styles with people.

People had access to a wide range of activities within the service and in the local community. People were supported to follow their own interests and participate in regularly social occasions.

Care plans contained personalised and clear information about people’s needs, wishes and prefe

Inspection areas

Safe

Good

Updated 30 January 2019

The service was safe.

People felt safe and staff knew how to identify, report and prevent abuse.

Appropriate recruitment procedures were in place. There were enough staff to meet people’s needs.

Individual and environmental risks had been identified and were managed safely.

Procedures were in place to protect people from the risk of infection.

People received their medicines safety and as prescribed. Medicines were ordered, stored and disposed of correctly.

Effective

Good

Updated 30 January 2019

The service was effective.

People received effective care from staff who were knowledgeable, skilled and supported in their role.

People had access to health care services and professionals where required.

People’s rights were protected in line with the Mental Capacity Act 2005. There was a clear process in place to ensure that people were only deprived of their liberty appropriately and where required.

People were supported to eat a variety of nutritious meals and were offered choice.

Caring

Outstanding

Updated 30 January 2019

The service was extremely caring.

Staff went the extra mile to ensure people were supported to maintain relationships with those important to them.

Staff had built positive relationships with people and their families.

Staff were highly motivated, kind and compassionate showing

dedication to improve people's lives.

Staff cared for people in a way that enriched their lives and

improved their wellbeing.

The service was committed to promoting people's independence.

Responsive

Good

Updated 30 January 2019

The service was responsive.

There was a person-centred culture within the service and staff worked hard to provide consistent care.

The service used individual ways to ensure their people’s communication needs were met.

People were supported to follow their own interests and access a wide range of social events and activities within the community.

Care plans were personalised and gave clear guidance for

staff on how to support people.

People knew how to raise concerns and were confident action

would be taken.

Well-led

Good

Updated 30 January 2019

The service was well-led.

People were happy living at Esplanade House and felt the service was well-led.

The provider was engaged in running the service and there was a positive and open culture.

Staff were organised, motivated and worked well as a team. They felt fully supported and valued by the registered manager.

There were robust auditing processes in place. The quality of the service was monitored and appropriate actions were taken when required.