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Inspection Summary


Overall summary & rating

Good

Updated 25 October 2016

We carried out an unannounced comprehensive inspection of this service on 21 September 2016.

The home is registered to provide accommodation and personal care for adults who require care and who had a learning disability. A maximum of 11 people can live at the home. There were eight people living at home on the day of the inspection. There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by staff who knew how to keep them safe and free from harm and to recognise and report any risks, problems or potential signs of abuse. People’s risks were assessed prior to activities taking place to promote their independent lives. Guidelines were developed to ensure that people were then supported by staff safely. Regular reviews ensured that risks were updated as people’s needs or activities changed.

People were helped to have their medicines by staff knew how to administer and record medicines given. Robust training was in place to enable staff to safely support people to take their medicines when required. People received individual support from staff who had the knowledge and skills to meet their needs effectively and responsively. Staff training had been developed around the individual needs of the people who used the service. Staff competency was regularly reviewed and their knowledge was updated to ensure it continued to reflect current best practices and legislation. Staff felt well supported by the registered manager and their colleagues.

Staff understood their roles and responsibilities and worked well as a team to ensure people’s needs were met. People’s rights were upheld and staff understood how to protect people’s human rights. People were offered choices in how they lived their lives. Staff recognised the importance of people having the right information and support to enable them to make their own decisions. People enjoyed a balanced and nutritious diet. Staff worked with healthcare professionals to ensure people’s continued good health and wellbeing.

People were supported by staff who were caring and understood, promoted and developed people’s independence. People’s privacy and dignity was respected as was their individuality,. People were supported to maintain and develop positive relationships with people who were important to them.

People enjoyed living the lives they chose and this involved having active social lives. Activities were developed around individual preferences, likes and hobbies. Staff recognised the importance of social engagement and contact and encouraged it in daily planning.

People who used the service were able to raise concerns and the provider had a system to deal with any complaints. People were regularly asked if they were happy with the service provided. There were systems in place to ensure that people’s views and opinions were heard and their wishes acted upon.

The registered manager provided leadership and promoted an open culture where the people who used the service were supported. The management team had kept their knowledge current and the provider ensured regular checks were completed to monitor the quality of the care that people received and looked at where improvements may be needed.

Inspection areas

Safe

Good

Updated 25 October 2016

The service was safe.

People were supported by sufficient numbers of staff to meet their care and welfare needs in a timely way. People felt safe and looked after by staff. People’s risk had been considered and they received their medicines when needed.

Effective

Good

Updated 25 October 2016

The service was effective.

People were supported by staff who were trained and supported to deliver care. People’s consent had been obtained and recorded. People’s diets met their individual needs and preferences.

People had access to on-going health care support from staff who worked with healthcare professionals and followed their advice.

Caring

Good

Updated 25 October 2016

The service was caring.

People received care and support that was delivered in a kind and compassionate way. People’s privacy and dignity was respected and promoted.

People were listened to and were supported to make their own decisions and choices.

Responsive

Good

Updated 25 October 2016

The service was responsive.

Staff knew how to respond to people’s changing needs and did so promptly and efficiently. People had their care and support needs kept under review and enjoyed a range of activities.

People’s complaints were listened to, taken seriously and acted on.

Well-led

Good

Updated 25 October 2016

The service was well-led.

People’s views were sought in relation to the quality of the service provided. The management of the service was open and transparent and clear about roles and responsibilities. There were procedures in place to monitor and review the quality of the service.