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Archived: Iona Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 November 2017

We inspected Iona on the 19 October 2017 and it was unannounced. The service provides personal care and support for up to six people with learning disabilities. There were two people living at the service when we visited.

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 service was last inspected on 4 October 2016 when we found there were breaches of the regulations. We rated the provider as requires improvement in the areas of safe, effective and well led. At this inspection we found the provider had made some improvement’s however further improvements were needed.

We could not be assured people were safe as the provider did not provide us with documentation to show us checks had been carried out to determine staff suitability to work within the home.

Staff understood how to recognise and report potential abuse. They felt listened to and were assured action would be taken if concerns were raised. Individual risks had been identified for people and staff had the information needed to keep people safe. Medicines were administered, stored and recorded to ensure people were protected from the risks associated with them.

People were supported in a caring way and encouraged to remain independent. People’s privacy and dignity was maintained. When people needed support to access health professionals this was available for them. People were able to maintain relationships that were important to them.

When needed capacity assessments had been completed and decisions considered in people’s best interests. There were enough staff available to meet people’s needs and they had received relevant training and an induction which helped them to offer effective support to people. People were encouraged to make choices about how to spend their day and were involved with activities they enjoyed.

Quality monitoring was completed by the provider to drive improvements within the home. Staff and people felt the service was well managed and were given the opportunity to raise concerns. The provider had a complaints procedure in place so any concerns could be addressed accordingly. The previous rating was displayed in the home in line with the requirements of registration with us.

Inspection areas

Safe

Requires improvement

Updated 14 November 2017

The service was not always safe.

We could not be sure people were always safe as we were not assured employments checks had been completed for staff working within the home. Staff knew how to recognise and report potential abuse. Risks were managed in a way that kept people safe. There were enough staff available to meet people’s needs. Medicines were managed in a way to protect people from the risks associated with them.

Effective

Good

Updated 14 November 2017

The service was effective.

The provider followed the legal requirements to make sure decisions are taken in people’s best interests. Staff received an induction and training that helped them to support people effectively. People made choices around food and drinks. When needed people had access to health professionals.

Caring

Good

Updated 14 November 2017

The service was caring

People were encouraged to be independent and make choices about their day. They were supported to maintain relationships with people who were important to them. Staff knew people well and interacted with people in a kind and caring way.

Responsive

Good

Updated 14 November 2017

The service was responsive.

People received personalised care from staff who knew them well. People were supported with leisure activities and the provider had a procedure in place to respond to any concerns or complaints.

Well-led

Requires improvement

Updated 14 November 2017

The service was not always well led

We could not be sure check were carried out on staff to ensure they were suitable to work within the service. Staff felt supported by the management team and knew about whistle blowing. People and staff felt that the service was well managed. Quality checks were used to bring about improvements.