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Inspection Summary


Overall summary & rating

Good

Updated 14 September 2017

This comprehensive inspection took place on 24 and 25 July 2017. The Green is one of a range of services provided by Autism Together. It is a large Victorian building in Bromborough Pool village that has been divided into four self-contained flats. At the time of inspection 10 people lived in the house.

The service had a manager who was registered with the Care Quality Commission. 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.

We last inspected the service in August 2015 and gave it an overall rating of good.

The majority of people’s medication was correctly administered, stored and recorded. However, not all ‘as required’ (PRN) medication, such as pain relief, had been properly recorded. Staff had had training on safe administration of medicines and there were policies and procedures in place to support staff. The registered manager arranged additional communication and training with staff to address the issues with PRN following our inspection.

Staff were safely recruited and supported with an induction process. All staff also had regular supervision and appraisal meetings with the registered manager.

Staffing levels during our inspection were sufficient to meet the needs of the people living there.

We observed people looking comfortable in a homely environment, including some people who were enjoying the warm weather in the large garden at the rear of the property. We saw caring and friendly interactions between the people living at the service and staff.

The people we spoke with and their relatives told us they enjoyed and were given enough to eat and drink and a choice of suitable nutritious foods to meet their dietary needs. Some of the people living at the service were supported to cook their own meals, as they enjoyed doing this.

Staff encouraged people to maintain their independence and supported people to enjoy their hobbies and interests.

People living at the service had personalised care plans and risk assessments. We saw that the care plans we looked at were regularly reviewed by the registered manager. The people living at the service and, where possible, their relatives were involved in the process of reviewing this information.

The registered manager and other staff at the service regularly checked the safety of the premises and the quality of care provided through a range of audits.

The local authority told us that it did not have any concerns about the service and it had not received any complaints or safeguarding alerts about the service.

Records showed that staff had received training on safeguarding vulnerable adults and there were policies and procedures in place to guide staff in relation to safeguarding adults. Staff told us that they felt people living at the service were safe. They said that they would be confident raising a concern if necessary and they believed that the registered manager would listen to any concerns and take appropriate action.

Staff had received training on mental capacity and Deprivation of Liberty Safeguards (DoLS) and there were policies and procedures in place to meet the requirements of the Mental Capacity Act 2005 and the associated DoLS. Most staff demonstrated a good understanding of the principles of the Mental Capacity Act 2005 and DoLS. Following our inspection the registered manager committed to discussing these issues individually with all staff and at the next team meeting to ensure complete understanding across the whole staff team.

Inspection areas

Safe

Good

Updated 14 September 2017

The service was safe.

Overall, medication was correctly administered, stored and recorded.

People said they felt safe living at the service. Staff and relatives also felt people were safe and appropriate training and information was available to raise any concerns if necessary.

The premises were safe and well-maintained.

Staff were appropriately recruited and there was a sufficient number of staff working to meet the needs of the people living at the service.

Effective

Good

Updated 14 September 2017

The service was effective.

Staff had received training relevant to their work and were well-supported by regular supervisions and appraisals with the registered manager.

Staff had received training on mental capacity and Deprivation of Liberty Safeguards (DoLS). There were policies and procedures in place and appropriate steps had been taken to meet the requirements of the Mental Capacity Act 2005 and the associated DoLS.

People were given a choice of suitable nutritious foods to meet their dietary needs and they told us that they enjoyed the food and drink they had at the service.

Caring

Good

Updated 14 September 2017

The service was caring.

People told us that they felt the staff knew them well, they had known most of the staff for some time and they got on well with staff.

We observed positive and caring interactions between staff and the people living at the service.

We saw that people’s dignity and independence was both maintained and encouraged. People were well-kempt and staff supported people as required to maintain their personal hygiene.

Responsive

Good

Updated 14 September 2017

The service was responsive.

People and their relatives were involved in planning their care and their care plans were regularly reviewed.

People had access to information about how to raise a complaint presented in a format they could understand.

Well-led

Good

Updated 14 September 2017

The service was well led.

There was a caring culture amongst staff at the service, reflecting the visions and values of Autism Together.

Staff and the people living at the service told us that the registered manager was caring, approachable and listened to them.