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Inspection Summary


Overall summary & rating

Good

Updated 30 May 2019

About the service: Eastbank is located in Hereford, Herefordshire. The service provides accommodation and care for up to seven people with learning disabilities, physical disabilities and dementia. On the day of our inspection, there were seven people living at the home.

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 using the service can live as ordinary a life as any citizen.' Registering the Right Support CQC policy

People’s experience of using this service:

• People enjoyed living at the home and were complimentary about staff and the way the home was managed.

• People, relatives and staff told us they saw the provider and registered manager regularly and found them approachable.

• Staff understood risks to people’s safety and supported them to stay as safe as possible.

• There were enough staff to care for people at times people wanted assistance.

• People were supported to have their medicines safely and checks were undertaken to ensure these were administered as prescribed.

• The risk of infections and accidental harm was reduced, as staff used the knowledge and equipment provided to do this.

• Staff spoke very affectionately about the people they cared for. People were confident to request support and reassurance from staff when they wanted this, and staff took time to provide this in the ways people preferred.

• People told us staff respected their rights to make their own decisions about their lives and care. Where people needed support to make some decisions staff assisted them, using people’s preferred ways of communicating.

• Staff had received training and developed the skills they needed to care for people, through induction and on-going training. People told us staff knew how to help them and knew what to do if they suspected anyone was at risk of harm.

• People had good access to other health and social care professionals and staff followed any advice given.

• 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.

• Staff ensured people had opportunities to do things which they enjoyed, and people were supported to keep in touch with others and religious practices that were important to them.

• The views of people, relatives and other health and social care professionals were considered when people’s care was assessed, planned and reviewed, so people’s needs continued to be met, and based on people’s preferences.

• Procedures were in place to take any learning from complaints and to further improve people’s care.

• People’s wishes for their care at the end of their lives had been planned and the views of their relatives considered.

• The registered manager and provider checked the quality of the care provided and encouraged suggestions from people and staff to improve people’s care further.

• The registered manager kept up to date with best practice developments, so they could develop the care provided further.

Rating at last inspection

At our last inspection the overall rating of this provider was Good. The report was published on 19/10/2016.

Why we inspected: This was a planned inspection based on the ratings at the last comprehensive inspection. The rating has improved to Good overall.

Follow up: We will continue to monitor the service through the information we receive until we return, as part of the inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Good

Updated 30 May 2019

The service was Safe

Details are in our Safe findings below.

Effective

Good

Updated 30 May 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 30 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 30 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 30 May 2019

The service was well-led

Details are in our Well-Led findings below.