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Inspection Summary


Overall summary & rating

Good

Updated 28 February 2019

About the service: This service supported people with learning disabilities and/or autism. It was registered for the support of up to five people. Five people were using the service at the time of the inspection

What life is like for people using this service:

• People had developed strong bonds with staff who knew them well. People were at ease with staff, and enjoyed sharing a joke with them. Relatives were very positive about the caring relationships which had developed between their family members and the staff supporting them. One relative told us, “I can’t fault the staff.”

• Staff spoke warmly about the people they cared for. People were confident to ask for assistance and reassurance from staff when they wanted this.

• People made many of their own day to day choices and decisions. Where people needed support to make some decisions staff assisted them, using people’s preferred ways of communicating.

• Staff promoted people’s rights to privacy and dignity and celebrated people’s independence.

• People were supported to stay as safe as possible by staff who understood risks to people’s safety.

• There were sufficient staff to care for people at times people wanted assistance.

• People were supported to have their medicines safely and checks were undertaken to ensure these were administered as prescribed. People’s medicines were reviewed.

• The risk of infections and accidental harm was reduced, as staff used the knowledge and equipment provided to do this.

• Staff had received training and developed the skills they needed to care for people, through induction and on-going training. One relative told us, “Staff know what they are doing and do a tremendous job.”

• Staff supported people to have enough to eat and drink so they would remain well. Meals were served at the times to suit people.

• People had good access to other health and social care professionals. Where people required an admission to hospital to address their health concerns, Montfort Fields staff continued to support them. This helped to ensure people experienced consistency of care and good levels of well-being and physical health.

• 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.

• Staff ensured people had opportunities to do things which they enjoyed in the community and people were supported to keep in touch with others who were important to them.

• The views of people, relatives and other health and social care professionals were considered when people’s care was assessed, planned and reviewed, so people’s needs continued to be met, and care provided as people individually preferred.

• Procedures were in place to take any learning from complaints and to further improve people’s care.

• People’s wishes for their care at the end of their lives were known. The registered manager planned to further develop the care available to people at the end of their lives, so their wishes would be responded to.

• Relatives highlighted how good the communication was with the registered manager and staff team. One relative said, “We have regular meetings, and the [registered] manager is doing a really good job.”

• The registered manager and provider checked the quality of the care provided and sought suggestions for improving people’s care further. Suggestions were listened to and acted on.

• The registered manager kept up to date with best practice developments, so they could drive improvements in people’s care.

•We found the service met the characteristics of a “Good” rating in all areas; For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Good. The last report for Montfort Fields was published on 21 September 2016.

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.

Foll

Inspection areas

Safe

Good

Updated 28 February 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 28 February 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 28 February 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 28 February 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 28 February 2019

The service was well-led.

Details are in our Well-led findings below.