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Ivy Mead Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 August 2019

About the service: Ivy Mead is a care home for up to 20 people of various ages. Most people have a learning disability and/or mental health needs. It is split into two separate houses. At the time of the inspection 19 people were living in the service.

People’s experience of using this service:

The service did not consistently apply the principles and values of Registering the Right Support and other best practice guidance. This guidance helps ensure 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. The service promoted independence and provided person-centred support within the constraints of a environment where a large number of people shared communal facilities and head office staff were based close to bedrooms. People were encouraged to access the community and undertake person centred activities. The provider had plans to improve the layout of the home and the environment which would help ensure the principals and values were consistently applied.

People said they felt safe living in the home. Safeguarding procedures were in place and we saw evidence they were followed to help keep people safe.

We saw some good examples of suitable risk management plans. However, some risk management processes needed improving to ensure there was clear guidance available to support staff in keeping people safe. Some checks on the medicine management system needed to be more robust to ensure all medicines were accounted for.

We found there were enough staff with the rights skills to care for people. Safe recruitment procedures were in place which involved people who used the service. Staff received a range of training and support relevant to their role.

Appropriate DoLS assessments had been carried out by the service. Care was delivered in the least restrictive way possible. Some improvements were needed to mental capacity assessments and related care plans to clearly demonstrate correct procedures had been followed. This had been identified by the service and was in the process of being addressed.

People received person centred care and support. Staff were kind and compassionate and treated people well.

Some systems needed to be made more robust to ensure the service provided a consistent high-quality service. However, we felt assured by the management team who were committed to continuous improvement of the service.

Rating at last inspection: The service was rated Good at the last inspection in July 2016.

Why we inspected: This was a planned inspection based on the date of the last inspection.

Enforcement: We found one breach of regulation and issued a requirement action. Please see the end of the full report for details of the concern.

Follow up: We have asked the provider to send us an action plan detailing how they will make the required improvements to the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 8 August 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 8 August 2019

The service was not always effective

Details are in our Effective findings below

Caring

Good

Updated 8 August 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 8 August 2019

The service was responsive

Details are in our Responsive findings below

Well-led

Good

Updated 8 August 2019

The service was well-led

Details are in our Well-Led findings below.