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Powys House Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 13 March 2020

About the service

Powys House Residential Home is a care home. Powys house is registered to provide accommodation and personal care for up to 18 people and supports people living with a learning disability and/or mental health needs. At the time of the inspection there were 17 people living at the service. The service was a large single house, which had been adapted to suit the needs of the people living there.

The service has been developed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 18 people. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the home being in a residential area close to local amenities and public transport. People were supported to be active members of their local community and used all local facilities either independently or with staff support. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service and what we found

Where we identified areas for improvement the management team took immediate action to address these. These included the absence of some risk assessments, systems to ensure the safety of prescribed topical creams had not been followed, bath and shower chairs were rusty and could therefore not be adequality cleaned. These could have adversely impacted on people’s safety and had not been identified by the provider’s and registered manager’s quality monitoring of the service.

The registered manager was not fully aware of their responsibilities under the duty of candour which requires the service to apologise, including in writing when adverse incidents have occurred.

CQC had not been notified of all significant events as required. Registered persons are required to notify CQC of a range of events which occur within services. Whilst we had been notified of some events we had not been notified of abuse or allegations of abuse which had occurred. The service had appropriately informed the local authority safeguarding team and taken reasonable action to reduce the risk of recurrence. Following the inspection, the registered manager informed us their systems had been amended to ensure that all necessary notifications would now be submitted, and the duty of candour would be followed correctly in the future.

People told us they were happy living at Powys House and felt supported to live their lives in the way they wished to do so. Staff were observed to treat people with kindness and compassion.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff supported people and showed an understanding of equality and diversity and people were treated with dignity, and their privacy was respected. People and their relatives were involved in the planning and review of their care and people were supported to be as independent as possible.

People and their relatives gave us positive feedback about their safety and told us that staff treated them well. Staff knew how to keep people safe from harm.

Staff were recruited safely, and sufficient numbers were employed to ensure people's care and social needs were met. Staff had received appropriate training

Inspection areas

Safe

Good

Updated 13 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 13 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 13 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 13 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 13 March 2020

The service was not always well-led.

Details are in our well-Led findings below.