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New Boundaries Group - 331 Fakenham Road Good

Inspection Summary

Overall summary & rating


Updated 1 December 2016

331 Fakenham Road is registered to provide accommodation and personal care for up to five people with learning difficulties. There were four people living in the home at the time of our visit.

There was a registered manager 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.

Staff understood what protecting people from harm or abuse was, and had received training in this area. Staff understood their roles and responsibilities in keeping people safe and actions were taken when they were concerned about people’s safety. People were safely supported to take their medicines by trained staff.

There were detailed risk assessments within care records concerning risks associated with individuals. These included guidance for staff on how to mitigate these risks. Staff were confident in reporting and recording incidents and accidents should they occur, and taking action when needed.

The appropriate checks and maintenance in relation to people’s living environment were carried out. There were effective processes in place to minimise risk of harm.

Safe recruitment processes were in place to ensure that staff employed in the service were deemed suitable for the role. There were enough staff to keep people safe.

The staff were caring, and we observed positive interactions between people and staff. Staff had good knowledge about the people they cared for and understood how to meet their needs. They supported them to maintain as much independence as possible and to communicate effectively, as well as to maintain their personal relationships.

People could make choices and decisions about their own care, and staff respected people’s privacy and dignity. People were supported to access healthcare wherever necessary and in a timely manner, with prompt action taken in response to changes to a person’s health needs. Staff supported some people to follow their interests and hobbies.

People received enough to eat and drink, and staff supported them to choose what they wanted to eat, and follow a balanced diet. Food and drink was available throughout the day.

Staff understood the importance of gaining people’s consent to the care they were providing to enable people to be cared for in the way they wished. The home complied with the requirements of the Mental Capacity Act 2005 (MCA).

Staff were motivated and spoke positively about their job and understood the importance of providing a high standard of care to the people living in the home. Staff worked well within a team and were supported in their roles.

The registered manager was closely involved with the team, providing support and leadership when needed.

The service had quality assurance systems in place to assess, monitor and improve the quality of care that people received. These included auditing systems and ways of gaining feedback from people.

Inspection areas



Updated 1 December 2016

The service was safe.

There were risk assessments in place, and staff followed guidance to protect people from the risk of harm.

There were enough staff to keep people safe, and robust recruitment processes ensured the staff employed were deemed safe to work within care.

Medicines were managed safely and given as prescribed.



Updated 1 December 2016

The service was effective.

Staff received training relevant to their roles as well as comprehensive inductions.

Staff asked people for their consent before delivering care, or where they could not gain consent, made decisions in people’s best interests.

People ate a good choice of meals and had enough to drink. They had timely access to healthcare when they needed it.



Updated 1 December 2016

The service was caring.

Staff were kind and compassionate and knew people well. They had good relationships with people and adapted their communication effectively.

Staff respected people’s dignity and privacy. They promoted people’s independence as much as possible.

Staff promoted people’s relationships with their loved ones and had good relationships with people’s families.



Updated 1 December 2016

The service was responsive.

Each person’s care record contained details of their likes and dislikes, and staff provided care according to people’s requirements.

People were supported to engage in hobbies and go out, following their interests as well as engage in activities in the home.

People knew who they would go to if they wished to complain.



Updated 1 December 2016

The service was well-led.

There was good leadership and a strong staff team. The registered manager was approachable to everyone including people and staff.

There were systems in place for monitoring the quality of the service.