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Inspection Summary


Overall summary & rating

Good

Updated 3 May 2018

Medihands Healthcare provides accommodation and personal care for up to 17 adults with mental health needs. The care home is owned and managed by a private individual who has another care home in the local area, as well as an independent and supported living service. There were 15 people living at the home on the day we visited.

The home was based in two adjoining houses, linked by internal corridors. Bedrooms are all single occupancy with shared bathrooms on each floor. There are two main sitting rooms and one smaller room. Dining areas are in the sitting rooms and the conservatory. There was a kitchen and a training kitchen, where people could practice home skills.

At our last inspection in February 2016 we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were safe at the home. The provider took appropriate steps to protect people from abuse, neglect or harm. Support plans continued to show staff assessed the risks to people's health, safety and welfare. Records showed that these assessments included all aspects of a person's daily life. Where risks were identified, management plans were in place. Records showed that incidents or accidents were thoroughly investigated and actions put in place to help avoid further occurrences.

We observed that there were sufficient numbers of qualified staff to support people and to meet their needs. The provider's staff recruitment process continued to help ensure that staff were suitable to work with people using the service.

People were supported by staff to take their medicines when they needed them. Medicines were stored securely and staff received annual medicines training to ensure that medicines administration was managed safely.

Staff continued to have the skills, experiences and a good understanding of how to meet people's needs. The provider had developed new ways for staff to learn and implement their training in practical ways.

The service had taken appropriate action to ensure the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) were followed. People are 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 support this practice.

Detailed records of the support people received were kept. People had access to healthcare professionals when they needed them. People were supported to eat and drink sufficient amounts to meet their needs.

People were supported by caring staff, in a relaxed and friendly atmosphere. Staff respected people’s privacy and dignity. People's needs were assessed and information from these assessments had been used to plan the support they received. People had the opportunity to do what they wanted to and to choose the activities or events they would like to attend.

The provider had arrangements in place to respond appropriately to people's concerns and complaints. The home continued to be well managed by the provider, registered and deputy managers. The provider had developed new ways to help staff understand the homes policies and procedures.

The provider had systems in place to assess and monitor the quality of the service. Weekly, monthly and annual health and safety and quality assurance audits were conducted by the home.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 3 May 2018

The service remains Good

Effective

Good

Updated 3 May 2018

The service remains Good

Caring

Good

Updated 3 May 2018

The service remains Good

Responsive

Good

Updated 3 May 2018

The service remains Good

Well-led

Good

Updated 3 May 2018

The service remains Good