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Inspection Summary


Overall summary & rating

Good

Updated 17 November 2017

This inspection took place on 27 and 28 September 2017 and was unannounced. The service is registered to provide accommodation and personal care for up to 46 people. At the time of our inspection there were 44 people using the service.

At our last inspection of 8 August 2014 we rated the service as ‘Good’. At this inspection we have rated the service as ‘Good’ and the well-led section as ‘Outstanding’.

The service had a registered manager in place at the time of our inspection. 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 felt safe in the service. Each person had a risk assessment in place which had been discussed with them and or their families to minimise risks while supporting them to pursue the life of their choice. Staff had received training in safeguarding and there were sufficient staff organised to be on duty to meet peoples assessed needs.

Regular checks of the fire safety systems and equipment used by staff in the service to support people were arranged and carried out.

The service had a robust recruitment policy and people had been supported to be part of the staff recruitment procedure. Each person had a medicines profile which included information about any allergies and why the medicines had been prescribed for them.

All new staff were provided with regular one to one support from experienced staff and given induction training. All staff had received training to enable them to support the people living at the service.

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 practice.

The staff were trained to support people’s capacity to make decisions and choices in their lives. People's rights were protected because staff acted in accordance with the Mental Capacity Act 2005. The principles of the Deprivation of Liberty Safeguards were understood and applied correctly and the team were committed to ensuring that people were supported in the least restrictive way possible.

People were supported as required to eat and drink enough and they were encouraged to make choices about food and drink and provided. The catering staff spoke with people regularly about the food and drinks provided and acted upon the feedback to develop menus.

People were supported by visiting professionals who were contacted by the service staff as necessary to provide treatment for any illnesses and concerns raised and noted by the staff.

People were supported by exceptionally caring staff that knew them well and understood how to support them to maximise their potential and attain their goals. The service had a person centred culture focussed on the promotion of people's rights to make choices and live a fulfilled life as independently as possible and this resulted in people being valued and treated as individuals. People received a personalised service which was responsive to their individual needs.

Each person was visited by a senior member of staff prior to using the service to carry out a detailed assessment to determine if the service could meet their needs. This was an opportunity also for the person to visit the service and ask questions regarding if it was the right service for them.

People were listened to and there were systems in place to obtain people's views about their care. People were encouraged to provide feedback on the service and felt they could raise concerns. Complaints were taken seriously, investigated and responded to compassionately.

The registered manager and their team of staff were inspiring and dedicated to providing care which met the highest of standards. They strived

Inspection areas

Safe

Good

Updated 17 November 2017

The service was safe.

There were systems and processes in place to minimise the risk of abuse and staff were very clear about their role in safeguarding people from harm.

Risks associated with people’s care and support were assessed and managed safely whist promoting independence.

There was a robust recruitment process in place.

A dependency tool was used to determine the number and skill mix of staff required to be on duty to support people meet their individual needs.

There were effective, organised systems in place for the safe handling of medicines.

Effective

Good

Updated 17 November 2017

The service was effective

Staff received on-going training and support to enable them to provide an effective service.

People's rights were protected because staff acted in accordance with the Mental Capacity Act 2005. The principles of the Deprivation of Liberty Safeguards were understood and applied correctly and people were supported in the least restrictive way possible.

People were supported to eat and drink enough, they were encouraged to make choices about food and drink and provide feedback.

People received on going healthcare support from a range of healthcare professionals.

Caring

Good

Updated 17 November 2017

The service was caring.

People were supported by caring and compassionate staff

People were views were sought and listened to and there were systems in place to obtain people's views about their care. Positive relationships existed between people who used the service, their relatives and staff.

The service had a person centred culture focused on the promotion of people's rights to make choices and live a fulfilled life as independently as possible and this resulted in people being valued and treated as individuals.

People's rights to privacy and dignity were valued and respected.

Responsive

Good

Updated 17 November 2017

The service was responsive.

People received a personalised service which was based upon an in-depth needs assessment and responsive to their individual needs.

The service was committed to building strong links with the community.

People were encouraged to provide feedback on the service and felt they could raise concerns.

Complaints were taken seriously, investigated and responded to in a professional manner.

Compliments were recorded and used to develop and underpin the service.

Well-led

Outstanding

Updated 17 November 2017

The service was exceptionally well led.

A clear vision based upon the statement of purpose was embedded throughout the service and there was a strong commitment to deliver a high standard of personalised care.

There was clear visible leadership from the registered manager who had developed and delegated appropriately responsibilities to senior members of staff.

Robust and frequent quality assurance processes with resulting actions provided a safe and quality service.