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The Adelaide Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 July 2019

About the service: The Adelaide is a local authority owned service which provides both a short stay residential respite and re-enablement service, day care service and an outreach community re-enablement service including personal care for people living in their own homes. At the time of the inspection 17 people were receiving a residential based service and 25 were receiving a community-based service.

People’s experience of using this service:

People told us they felt safe when they were receiving a residential or community-based service from The Adelaide.

Quality assurance processes had not always been effective. An external consultant had completed a comprehensive audit of the service shortly before this inspection. This had identified significant areas for improvement and the provider had ensured work had been undertaken in respect of the priority areas. Further work to improve the service was ongoing. We identified some areas for improvement and senior managers responded positively acting where needed.

People's needs were met in an individual and personalised way by staff who were kind and caring. Independence was promoted, and the service goals of re-enablement were understood by all staff.

People's rights and freedoms were upheld. People were empowered to make their own choices and decisions. They were involved in the development of their care plans which were designed to promote people's recovery and independence (re-enablement). Staff acted in the best interests of the people they supported.

People felt listened to and knew how to raise concerns. They, and healthcare professionals told us they would recommend the service to others. Staff respected people's privacy and protected their dignity.

There were enough staff who had recently received all necessary training, worked well together and arrangements were now in place to ensure staff received formal and informal supervision from senior staff.

The residential service environment was safe and suitable for people staying there.

The service has been rated Requires Improvement as it met the characteristics for this rating in two of the five key questions. More information is in the full report, which is on the CQC website at: www.cqc.org.uk

Rating at last inspection: The service was rated as Good at the last full comprehensive inspection, the report for which was published in November 2016.

Why we inspected: This was a planned inspection based on the previous inspection rating.

Follow up: We will continue to monitor 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 23 July 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 23 July 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 23 July 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 23 July 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 23 July 2019

The service was not always well-led

Details are in our Well-Led findings below.