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Inspection report

Date of Inspection: 27 June 2014
Date of Publication: 5 August 2014
Inspection Report published 05 August 2014 PDF

Overview

Inspection carried out on 27 June 2014

During a routine inspection

This inspection team was made up of an inspector. We considered our inspection findings to answer questions we always ask; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, their relatives, the staff supporting them and from looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Staff were aware of the importance of consent and people were asked for their consent before care was provided. People's needs were assessed and risk assessments were carried out before care was provided. These were regularly reviewed so that staff were aware of the best way to provide support.

The manager and deputy manager were available on a daily basis to oversee the staff, and monitor that people were being safely supported, for example with personal care and when travelling out in the community. Health care professionals and social services were involved in people's care planning and in responding to people's concerns when needed. There were always a minimum of five staff available to support people throughout the day and two staff at night to respond to night support needs.

There were arrangements in place to deal with emergencies and to make sure people were safe. People's health needs were included in their care planning to ensure they were healthy. Fire safety equipment and procedures were in place to ensure people would be kept safe in the event of a fire. The staff and manager were trained in protecting people from neglect or abuse and people told us they felt safe in their home.

Is the service caring?

We spoke with three people who used the service and observed staff working with people. People told us that the staff and manager were very caring and supportive. We saw that staff always took the time to stop and speak with people and spoke with them in a manner they best understood, speaking slowly and using pictures to help people to understand. One person said, �the staff are always helpful and respectful" and a relative said �they are brilliant and are very welcoming and friendly always.�

Is the service effective?

We saw from four people�s records we looked at that people's needs were assessed and a care plan was drawn up to meet those needs. A relative and one person we spoke with told us they were happy with the plan provided. Others we spoke with were unable to comment. Regular reviews were made of the plan and people were involved in the reviews. There were suitable policies in place for consent to care, for example in relation to the management of medication, the provider had fully considered the needs of people who may not be able to consent and had referred them to the local authority for assessment. We observed that staff were able to effectively communicate with people and that care plans addressed people�s individual care needs.

People who used the service were consulted for their views on a regular basis, which involved the person, their family or advocate and social services. Any changes they requested were included in a revised care plan.

Staff were provided with adequate support, guidance and training to do their job. They were experienced in supporting people with learning disabilities and used effective systems to communicate with people, such as including pictures in choices of food and activities and to ensure people knew familiar staff were scheduled to support them.

Is the service responsive?

People who used the service told us that the staff and manager always listened to their concerns and do something to help sort out any problems they were experiencing. People were provided with a range of enjoyable activities and changes were made when necessary to try out new activities. People's support plans were reviewed and changed when necessary in response to changing needs, for example in helping people with specialist eating support needs. People told us they had lots of interesting activities and that the staff listened when they wanted to do something different.

Is the service well led?

The registered manager was involved in direct care and worked with all the staff almost every day. They felt this meant they could identify any issues quickly and address them if they arose. Staff we spoke with told us that they felt the home was very well managed and that they received direction and training to allow them to support people at the home. Regular staff meetings and supervision sessions were held and staff said they felt able to raise any issues with the management openly and honestly.

People who used the service told us that they felt the manager was very good at managing the home and was always present to speak with them about any concerns.

There were a range of systems in place to monitor the quality of people's care, and to make sure any concerns about staff, management or the way in which care was delivered were addressed.