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Homefield College Limited - 139 Homefield Road Good

Inspection Summary


Overall summary & rating

Good

Updated 10 August 2017

The inspection was carried out on 15 June 2017 and was an unannounced inspection.

Homefield College Limited – 139 Homefield Road is registered to provide accommodation and personal care for up to four people with learning disabilities and autistic spectrum disorder who do not require nursing care. Accommodation is provided in a bungalow in Sileby. At this inspection, there were three people living in the service.

At the last Care Quality Commission (CQC) inspection on 2 February 2015, the service was rated Good overall with Requires Improvement in the Effective domain because one person had been identified as not having the mental capacity to consent to a specific area of their care. The mental capacity act had not been followed to make sure that the support the person received was in their best interests.

At this inspection we found the service remained Good overall.

People told us that they felt safe when receiving support from staff at 139 Homefield Road. People were protected against the risk of abuse. Staff recognised the signs of abuse, what to look out for and knew how to report any concerns. Medicines were managed safely and people received them as prescribed.

Staff followed guidance to minimise identified risks to people's health, safety and welfare. There were enough staff to keep people safe. The provider had appropriate arrangements in place to check the suitability and fitness of new staff.

There had been a change in how staff were deployed. This had been discussed with staff prior to the changes being made. However, staff felt that this continued to be a concern for them. The provider agreed to discuss this further with staff to resolve their concerns.

Staff received regular training and supervision to help them to meet people's needs effectively. Staff completed an induction to enable them to get to know the service. Team meetings had not been held regularly.

People were supported to follow a balanced diet. Where someone had a specific diet that they followed staff had a good understanding of this and guidance was in place for staff to follow. People received the support they needed to stay healthy and to access healthcare services.

Each person had an up to date support plan that was centred on them as an individual. This provided staff guidance on how to meet people’s support needs and their likes, dislikes and preferences. These were reviewed regularly.

People were encouraged to participate in activities, pursue their interests and to maintain relationships with people that mattered to them.

People were supported in line with the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). The provider and staff understood their responsibilities under the MCA.

Staff were caring and treated people with dignity and respect. They ensured people's privacy was maintained. People were supported to have choice and control of their lives.

People had access to a complaint’s procedure and felt confident to raise any concerns that they may have.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. The registered manager ensured that they met their legal responsibilities and obligations.

People, relatives and staff all told us that they could approach the registered manager. Staff told us that they felt supported by them.

There were systems and processes in place to monitor and review the quality of the service that people received. Where areas for improvement were identified an action plan was put in place to address these.

People and staff were encouraged to provide feedback about how the service could be improved. This was used to make changes and improvements that people wanted.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 10 August 2017

The service remains Good.

Effective

Good

Updated 10 August 2017

The service is Effective.

Staff received regular training to develop their knowledge and skills to support people effectively.

People’s choices were respected. Staff asked people for consent before they were supported.

People had access to healthcare professionals as required.

People were supported to maintain a balanced diet.

Caring

Good

Updated 10 August 2017

The service remains Good.

Responsive

Good

Updated 10 August 2017

The service remains Good.

Well-led

Good

Updated 10 August 2017

The service remains Good.