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Inspection Summary


Overall summary & rating

Good

Updated 24 May 2018

Revitalise Sandpipers is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service provides short breaks for people with a disability and their supporters / carers. The service offers short breaks in a relaxed, holiday style environment with a variety of trips, entertainment and activities. People who use the service are supported by a team of staff and volunteers. The service can accommodate up to 38 people. At the time of the inspection 32 people were accommodated.

This was an unannounced inspection and it took place on 16 and 17 April 2018.

At the last comprehensive inspection in October 2016 we found a breach of regulations with in respect to, maintaining appropriate records for the care and treatment delivered to people and to demonstrate that effective systems where in place to identify and assess risks to individuals. The service was rated as ‘Requires improvement’.

On this inspection we found improvements had been made and the breach of regulations had been met. It was clear the improvements had been in place over a sustained period and the service continued to develop. On this inspection we rated the service as ‘Good’.

A registered manager was in post. 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 found improvements had been made so that any potential risks to people using the service were better identified. More effective care plans had been agreed with people so that potential risks could be reduced. This was evident with medicines management where people were now fully assessed on admission and clear strategies where in place for each person to manage medicines safely.

Key documentation included attention to ensuring people’s consent to any care and treatment was recorded and operated in accordance with the principles of the Mental Capacity Act 2005 (MCA).

Revitalise Sandpipers had improved much of their key assessment and care planning documentation. The service had continued to develop quality monitoring processes and the registered manager had support from senior managers.

Policies and procedures provided guidance to staff regarding expectations and performance. These included policies regarding people’s diversity. Staff were clear about the need to support people’s rights and needs regarding equality and diversity.

People using the service and staff were involved in discussions about the service and were asked to share their views. This was achieved through daily contact by the managers and staff and regular surveys. These provided very positive responses regarding people’s stay.

The service maintained effective systems to safeguard people from abuse and the service had worked effectively with the local safeguarding team when needed.

Medicines were safely stored and administered in accordance with best- practice and people’s individual preferences. The records we saw indicated that medicines were administered correctly and were subject to regular audit.

We saw evidence that the service learned from incidents and issues identified during audits.

People’s needs were assessed and recorded by suitably qualified and experienced staff. Care and support were delivered in line with current legislation and best-practice.

The service ensured that staff were trained to a high standard in appropriate subjects. There was clear demarcation between regular staff and volunteers so that roles were clear.

We saw clear evidence of staff working effectively to deliver positive outcomes for people. People reviewed were receivin

Inspection areas

Safe

Good

Updated 24 May 2018

The service was safe.

There were systems in place to assess and monitor any risks people may present to their safety. This was an improvement.

The environment was monitored to help ensure it was safe and well maintained.

Staffing numbers were satisfactorily maintained to support people during their stay. Staff had been appropriately checked when they were recruited to ensure they were suitable to work with vulnerable adults.

Medicines were administered safely.

Protocols in place to protect people from abuse or mistreatment and staff were aware of these.

Effective

Good

Updated 24 May 2018

The service was effective.

Staff said they were supported through induction, appraisal and the service's training programme.

We found the service supported people to maintain their health and, for people who were part of a rehabilitation programme, provided effective outcomes for their health and wellbeing.

Staff sought consent from people before providing support. When people were unable to consent, the principles of the Mental Capacity Act 2005 were followed.

We saw people’s dietary needs were managed with reference to individual preferences and choice.

Caring

Good

Updated 24 May 2018

The service was caring.

When interacting with people staff showed a caring and friendly nature with appropriate interventions to support people as individuals. Staff told us they had time to spend with people and engage with them.

People told us their privacy was respected and staff were careful to ensure people’s dignity was maintained.

People told us they felt involved in their care and holiday experience and could have input into how their stay was organised.

Responsive

Good

Updated 24 May 2018

The service was responsive.

Care plans were completed and were being reviewed when needed so people’s care could be monitored during their stay. These were to be further developed to include people on rehabilitation and to provided more detail to further ensure consistency

There were a range of social activities planned and agreed for people staying on holiday.

A process for managing complaints was in place and people we spoke with and relatives knew how to complain. Complaints made had been addressed.

Well-led

Good

Updated 24 May 2018

The service was well led.

There was a registered manager. There was a clear management structure with lines of accountability and staff responsibility which helped promote good service development.

There were a series of on-going audits and checks to ensure standards were being monitored effectively. These had been developed to better identify the needs of the service on-going.

The Care Quality Commission had been notified of any reportable incidents.

There was a system in place to get feedback from people so that the service could be developed with respect to their needs and wishes.