Archived: Iona

Updated 14 November 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection visit took place on the 19 October 2017 and was unannounced. The inspection visit was carried out by one inspector. We checked the information we held about the service and the provider. This included notifications the provider had sent to us about significant events at the service and information we had received from the public. We used this information to formulate our inspection plan.

The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We spent time observing care and support in the communal areas. We observed how staff interacted with people who used the service. We spoke with two people who used the service, one member of care staff and the registered manager. We did this to gain people's views about the care and to check that standards of care were being met.

We looked at the care records for two people. We checked that the care they received matched the information in their records. We also looked at records relating to the management of the service, including quality checks.

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.