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Inspection Summary


Overall summary & rating

Good

Updated 13 June 2018

This inspection took place on the 10 May 2018 and was unannounced. At the last inspection in December 2016, we found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection, we found the service had made the required improvement and was rated as Good.

70-72 Worting Road is a ‘care home’. The service accommodated eight people in one adapted building. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 who used the service lived 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.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff understood and worked to the principles of the Mental Capacity Act (2005).

Medicines were managed safely. Staff had training in medicines administration and were observed by the registered manager to assess their competence.

Recruitment was safe, as all necessary staff pre-employment checks had been completed. There were sufficient staff on duty to meet people’s individual needs. Staff were aware of the different types of abuse and the signs to look for. They were confident about how to report any concerns and told us the registered manager would take appropriate action.

People accessed their local community every day and had regular clubs, meetings and activities they engaged with and enjoyed. There was opportunity for people to go on holiday; recent destinations included North Wales and Corfu, both chosen by people living at the service.

People were involved in planning their own care and support. Where possible people had signed their own care plans and drawn pictures of their goals or drawn pictures of the support they wanted from staff. Care plans were reviewed regularly and up to date.

The environment was clean and kept in good repair. People were encouraged to take responsibility for daily living activity such as light domestic cleaning and laundry. People were involved in planning their own menus, shopping for food and preparing their meals. All the meals were prepared using fresh ingredients.

Team meetings were held regularly and minutes kept. Staff received supervision quarterly and had an annual appraisal of their performance. Staff had received training in a range of areas and told us they felt well supported.

People had the opportunity to gain local employment with support from staff, which promoted their independence. The provider had gathered feedback from people, relatives and staff. People living at the service also had the opportunity to attend house meetings where they could voice their views and concerns.

Inspection areas

Safe

Good

Updated 13 June 2018

The service was safe.

Medicines were managed safely.

Staff were recruited safely and there were sufficient staff on duty to meet people�s needs.

Risks to people were identified and safety measures were put in place, risk assessments had been reviewed.

Staff were aware of the different types of abuse and what to do to report any concerns

The premises were well maintained and clean, we observed staff followed good infection prevention and control practices.

Effective

Good

Updated 13 June 2018

The service was effective.

The service was working to the principles of the Mental Capacity Act (2005). People were supported to make their own decisions.

People�s needs were assessed and where required referrals had been made to other healthcare professionals.

People had the opportunity to prepare their own meals and chose their own menus.

Staff were well trained and supported. Staff worked with other agencies when needed to make sure people had the support they needed.

The environment was suitable for people living at the service. People had their own rooms and there was ample communal space for everyone to access.

Caring

Good

Updated 13 June 2018

The service remains caring.

Responsive

Good

Updated 13 June 2018

The service remains responsive.

Well-led

Good

Updated 13 June 2018

The service was well-led.

Without exception, feedback about the management at the service was positive. Staff told us they felt the registered manager was visible, open, transparent and supportive.

Relatives and healthcare professionals told us the management at the service was good. People had been given the opportunity to give feedback on the service.

Team meetings were regularly held and minutes kept to record discussions.

People had access to their local community and got the support they needed to maintain relationships that were important to them.