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Inspection Summary


Overall summary & rating

Good

Updated 18 October 2019

Summerville is a residential care home providing accommodation and personal care for up to four people with learning disabilities and other needs. Some of their needs included behaviours that challenged, emotional and communication needs. At the time of the inspection three people lived at the service. They each received personal care, which is help with tasks related to personal hygiene and eating.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensured that people who used the service could live as full a life as possible and achieve the best possible outcomes that included control, choice and independence. People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

People’s experience of using this service and what we found

People told us they felt safe living at Summerville, we saw they were relaxed and confident with the staff who supported them.

Medicines were stored and managed safely. Policies and procedures supported the safe administration of medicines. People received their medicines when they needed them and staff who gave medicines were trained and their competency checked.

People were protected from abuse. When potential safeguarding incidents occurred, staff followed correct processes and reporting procedures and had received regular safeguarding training. Managers investigated concerns and informed the Local Authority safeguarding team and the Care Quality Commission (CQC) as required. A matter was being investigated by the Local Authority Safeguarding team and remained ongoing at the time of this inspection.

Staff were knowledgeable about the Mental Capacity Act 2005. They knew to seek consent for care and knew the process to help those who lacked capacity to make decisions. People’s needs were met by the adaptation and design of the service.

Care plans were up to date and contained the level of detail needed. Risks to people had been identified, detailed risk assessments were in place as well as guidance mitigate risk. Accurate records about people’s care and treatment had been kept and were up to date.

People’s care was based on their needs and preferences. People were supported to do things they enjoyed and independently choose how to spend their time. An appropriate accessible complaints system was in place.

People and their families were involved in assessments to ensure the service could meet their needs. Staff received training and support they required to enable them to fulfil their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told or indicated to us they were happy living at Summerville and liked the staff team who supported them. They were supported to express their opinions about their care. People and staff had positive relationships. Staff understood people’s conditions and needs well and responded to provide the support they needed. Managers understood and met their regulatory responsibilities.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Requires Improvement (published 4 October 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 18 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 18 October 2019

The service was well-led.

Details are in our well-Led findings below.