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Archived: Individual Care Services - 1 Dexter Way Good

Inspection Summary


Overall summary & rating

Good

Updated 27 November 2018

We inspected this service on 6 November 2018. The inspection was unannounced and carried out by one inspector and an expert by experience.

The service is a ‘care home’ operated by Individual Care Services. The service, 1 Dexter Way provides accommodation with personal care for up to five adults. People cared for at the home are living with learning disabilities, and complex health and physical disabilities. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of our inspection visit, there were five people living at the home.

The care 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.

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.

At the last inspection in March 2016 all five key areas were rated as Good. At this inspection we found the overall quality of care had been maintained and people continued to receive a service that was caring, effective and responsive to their needs. However, we found some improvements were needed in relation to the safety of the service. The overall rating continues to be Good.

There were enough staff on shift with the appropriate level of skills, experience and support to meet people’s needs and provide effective care. Staff knew what action to take in the event of an emergency and had been trained in first aid.

Staff understood their responsibilities to protect people from the risks of abuse. Staff had been trained in what constituted abuse and would raise concerns under the provider’s safeguarding policies. The provider checked staff’s suitability to deliver care and support during the recruitment process. Staff received training and used their skills, knowledge and experience to provide safe care to people.

Overall risks of harm and injury to people had been assessed and management plans were in place. However, risks of falls had not consistently been mitigated by the provider. Risks of cross infection had not been minimised by staff or the provider.

People were encouraged and supported to maintain good health. Staff frequently liaised with other healthcare professionals. People received their prescribed medicines in a safe way.

Staff worked within the principles of the Mental Capacity Act 2005. The registered manager understood their responsibilities under the Act. Four people had authorised deprivation of liberty safeguards in place when their care and support included restrictions in the person's best interests.

Staff supported people in a kind and compassionate way. Relatives felt staff were caring. People had varying levels of communication which were largely through gestures and non-verbal communication. These had been assessed so staff knew the appropriate communication methods to use to enable people to express themselves non-verbally, and make choices about day to day things such as what to wear.

People had detailed individual care and support plans which provided staff with the information they needed to respond to people’s needs. Staff recognised people as individuals and care was given in a person-centred way. This included people being supported with various activities both inside and outside the home.

The registered manager checked the quality of the service to make sure people's needs were met. Fe

Inspection areas

Safe

Requires improvement

Updated 27 November 2018

The service was not consistently safe.

Some risks of harm and injury and risks of cross infection were not consistently mitigated. Staff were safely recruited to work with people and overall, knew, how to keep them safe. People's prescribed medicines were available to them.

Effective

Good

Updated 27 November 2018

The services continues to be Good.

Caring

Good

Updated 27 November 2018

The service continues to be Good.

Responsive

Good

Updated 27 November 2018

The service continues to be Good.

Well-led

Good

Updated 27 November 2018

The service continues to be Good.