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Inspection report

Date of Inspection: 13 May 2014
Date of Publication: 3 June 2014
Inspection Report published 03 June 2014 PDF | 77.23 KB


Inspection carried out on 13 May 2014

During a routine inspection

A single inspector carried out this inspection. The focus of the inspection was to answer the five key questions; is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. The summary describes what people using the service, relatives and staff told us, what we observed and the records we looked at.

If you want to see the evidence that supports our summary please read the full report.

This is a summary of what we found:

Is the service caring?

Our observations showed us that people living in the service were treated with respect at all times. Staff knew the routines that people had chosen and were aware of their care and support needs. We saw staff supporting people in a caring and considerate manner.

Is the service responsive?

We saw that people's individual social and physical needs were being met. People were encouraged to decide what they wanted to do on the day of our inspection.We saw that staff allowed time for the individual to fully understand their choices and the options offered to them. Where people who lived in the service were not able to verbally respond, staff continued to include them in conversations throughout the day.

Is the service safe?

Records showed us that risk assessments were completed for any activities inside and outside of the service. All assessments included an evaluation for the level of risk that was presented plus any actions to be taken to reduce or eliminate such risks. Lawful requirements under the Mental Capacity Act 2005 were recognised and staff expressed a thorough knowledge of matters relating to the Deprivation of Liberty Safeguards (DoLs).

Is the service effective?

We saw positive interaction between members of staff and people who lived in the service. People were relaxed and looked happy, particularly when staff were talking and explaining what was happening around them. Rooms were designed specifically to meet the needs of people who lived in the service. The mobility and daily routines of people were supported with new equipment that had been installed. The bedrooms we saw reflected the personality of the person and staff told us that the colour scheme and soft furnishings were the choice of the individual themselves.

Is the service well led?

Staff explained that they undertook regular training and we saw a list of dates that showed us that training was updated regularly. People were therefore supported by a staff team who knew how to provide support in a safe and appropriate way. Quality assurance systems were in place and regular quality audits were completed for all areas of the service. We saw records that clearly documented the observations that had been made and when any improvements were to be completed.