You are here

Royal Mencap Society - 62 Wright Street Good

Inspection Summary


Overall summary & rating

Good

Updated 3 May 2018

62 Wright Street is a domestic property located close to Horwich town centre and has good access to local shops and public transport. It is part of a larger organisation, The Royal Mencap Society. The service is registered to provide accommodation and personal care for up to four people with a learning disability / autistic spectrum disorder. On the day of the inspection three people were living at the home.

The service had a registered manager. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This was an unannounced inspection which was carried out on the 15 February 2018.

At our previous inspection on 18 November 2015 we found that people were receiving high quality care which was responsive to people's individual needs. At this inspection, we found that these standards had been maintained and improved further. People received an outstanding level of care. Skilled and extremely caring staff supported people in an exceptionally person centred way. Staff embraced people's diversity and this was reflected in the care plans we saw.

The registered manager was based at 62 Wright Street five days per week. There was an assistant service manager on site five days per week who worked flexibly in response to the needs of the service. There was a manager available by telephone at all times.

We observed excellent relationships between people and observed the senior management team and staff interacting with people in a caring, good humoured and friendly manner. Management and staff demonstrated exceptional insight and understanding of people's personal preferences and needs. People appeared happy and relaxed and we overheard much laughter and observed meaningful interactions during our visit.

People’s confidence and ability to be as independent as possible had grown since living at 62 Wright Street. Risks were managed effectively and people clearly felt safe meeting new challenges with the support of the staff. There were enough staff on duty so that they could take part in the activities they wished and be supported in meeting their individual needs. People had access to activities that were important and relevant to them, both inside and outside their home. They were protected from social isolation because of the exceptional support and exhaustive range of opportunities offered by staff.

There were systems and processes in place to protect people from harm. They had their medicines administered safely. Staff had a good understanding about the signs of abuse and were aware of what to do if they suspected abuse was taking place. People's needs were assessed before and when they moved into the home and on an ongoing basis to reflect changes in their needs. Clear and well thought out arrangements were in place for people moving into the service which helped to significantly reduce possible anxiety about this change.

The service had fostered positive working relationships with health and social care professionals which led to joint working to expand people's communication skills and identify new ways for people to access health care.

A robust system for staff recruitment, induction and training was in place. This enabled the staff to support people effectively and safely.

The home was clean, tidy and remarkably homely in character. There were systems in place to prevent the spread of infection. Staff were trained in infection control.

Electrical and gas appliances were serviced regularly. Each person had a personal emergency evacuation plan (PEEP) and there was a business plan for any unforeseen emergencies.

The managers and staff demonstrated a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguard

Inspection areas

Safe

Good

Updated 3 May 2018

The service remained good

Effective

Good

Updated 3 May 2018

The service remained good

Caring

Good

Updated 3 May 2018

The service remained good.

Responsive

Outstanding

Updated 3 May 2018

The service has improved to Outstanding

People's care was based around their individual goals and their specific personal needs and aspirations. People with complex needs and behaviours that may challenge, were being empowered and enabled to feel a part of their community, and to achieve their goals and more.

Feedback from relatives was extremely positive about the quality of life that their family members were experiencing.

Support was completely tailored to each individual, and staff understood the best way to support each person with their complex needs. Innovative approaches were used to maximise each person's potential, and ability to take part in meaningful activity.

Well-led

Good

Updated 3 May 2018

The service remained good.