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Inspection Summary


Overall summary & rating

Good

Updated 3 January 2019

What life is like for people using this service:

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People continued to receive safe care. Staff had a good understanding of safeguarding procedures that should be followed to report incidents of harm or concern.

Risk assessments were in place to manage potential risks within people’s lives, whilst also promoting their independence.

People were supported to be as independent as possible, often through activities that carried a risk of injury such as swimming and horse riding. These activities were risk assessed to mitigate risk of injury and without unduly restricting people from exercising choice.

The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.

Safe staffing levels were in place to meet people's needs.

There were procedures in place for evacuating people with limited mobility in the event of an emergency.

Infection control procedures were in place that were based on Code of Practice on the prevention and control of infections. The premises, including communal areas and people rooms were clean and fresh.

Staff training had training that provided them with knowledge they needed to perform their roles. The management team supported staff to put their training into practice. Staff were knowledgeable about people’s needs. Two staff had won national awards in recognition of their support of people who used the service.

People were supported with their nutritional needs.

Staff obtained people's consent before they provided care and support. 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.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Care plans reflected people’s likes and dislikes, and staff spoke with people in a friendly manner, addressing them by their preferred name. We saw positive and friendly interactions between staff and people. Staff acted professionally and recognised professional boundaries without compromising the quality of care and support.

People or their relatives were involved in the planning of care and could contribute to the way in which they were supported. People and their relatives were involved in reviewing their care and making any necessary changes if they wanted.

People participated in a wide range of meaningful and stimulating activities.

Care plans were detailed and included information about the support people required. People experienced outstanding outcomes because of the care and support they received.

People knew how to raise any complaints or concerns. These were acted upon promptly and where necessary the management team reviewed care plan and made changes.

The service continued to be well managed. The provider had systems in place to monitor the quality of the service. Actions were taken and improvements were made when required.

Rating at last inspection: Good (report published 23 June 2016).

About the service: Waring Close is care home that was providing personal care to 16 people at the time of the inspection.

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

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Good

Updated 3 January 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 3 January 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 3 January 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 3 January 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 3 January 2019

The service was Well-led.

Details are in our Well-Led findings below.