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Inspection report

Date of Inspection: 7 April 2014
Date of Publication: 14 May 2014
Inspection Report published 14 May 2014 PDF


Inspection carried out on 7 April 2014

During a routine inspection

At the time of our inspection visit, the four people using the service were out at day service. We were told by staff that these people may not have been able to communicate verbally their views on the service, had they been present. This was corroborated by looking at care records. We looked at the care records for all four people using the service. In addition, we reviewed audit records, complaints records and staff rotas. We considered our inspection findings to answer five key questions; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? and is the service well led?

Below is a summary of what we found during our inspection;

Is the service safe?

We found that people using the service were protected from the risks associated with the spread of infection, as appropriate measures were in place to control this risk. We found that people were cared for in a clean and hygienic environment.

We reviewed the fire safety checks undertaken by a nominated member of staff at the service. We found that these had been completed on a weekly basis, and this ensured that people would be alerted promptly if there was a fire at the service. This protected people from the risk of coming to harm in the event of a fire.

We reviewed the staff rota for the month prior to our visit. We found that in this month, there had been enough staff to meet people's needs and protect their welfare. All four people using the service required one to one care, and we found that they had received this in the month prior to our inspection. The service had in place a contingency plan to maintain the staff numbers at a safe level.

We checked to see if anyone using the service was subject to a deprivation of liberty safeguard at the time of visit, and we found that no one using the service was at the time of visit. The service had in place appropriate policies and procedures in order to protect people from having their liberty unlawfully restricted.

Is the service effective?

Care records we reviewed indicated that people's care was planned and delivered in a way which promoted their dignity and ensured their safety and welfare. These records had been reviewed and updated as needed, and we were told by staff that new updated paperwork was just being completed for each person using the service.

Is the service caring?

We found that each of the four care records we reviewed contained detailed information about the person. This included information about how they communicated, what they liked to do with their time, their past history and how staff could support them to live their life as they wished.

The service was unable to offer people the opportunity to complete satisfaction questionnaires, as they would be unable to provide responses to direct questions about their experiences. However, staff told us that they were able to tell when people were happy and when they weren't, just by observing their behaviour and interaction with others.

Is the service responsive?

People using the service had opportunities to partake in a number of different activities throughout the day and evening. All four people were supported to attend a day centre on weekdays, and there was information in their care records about what they liked doing at other times.

People's care records indicated that staff took the appropriate action in a prompt manner where concerns about a person�s wellbeing or care were identified. This included seeking advice and support from healthcare professionals such as doctors, dentists and mental health professionals where needed.

Is the service well-led?

The service had a quality assurance system in place to identify shortfalls in service provision. This included a programme of audits and checks which were completed regularly to ensure the quality of the service provided to people..