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Inspection Summary


Overall summary & rating

Good

Updated 17 August 2017

Ball Tree Croft provides care and support for up to 20 people with dementia, learning, sensory and physical disabilities. The service was divided to provide respite care for four people and permanent accommodation for up to 16 people. The premises were arranged in three adjoining units each with a self-contained kitchen, lounge and dining area. The units were accessible to people and staff through an open courtyard with a sheltered roof that protected people against poor weather.

At the last inspection, the service was rated ‘Good’. We carried out this unannounced comprehensive inspection of the service on 27 June 2017. At this inspection, we found that the service had maintained its 'Good' rating.

At our previous inspection of April 2015, we found that staff did not monitor and record people’s weights regularly and the action they took after they had received guidance from healthcare professionals.

At this inspection of 27 June 2017, we found that staff monitored and maintained detailed records on people’s weight management. Staff recorded guidance received from healthcare professionals in people’s care and support plans and daily observation records indicated they followed this. People received support with their nutrition and hydration needs and to adopt a healthy lifestyle.

People continued to receive the support they required to maintain their safety and well-being. Appropriate recruitment procedures followed at the service ensured people received care from suitable staff. People had their care delivered by a sufficient number of staff appropriate to their needs.

People remained safe from the risk of abuse because staff knew how to identify and report any concerns. Staff followed safeguarding policies and procedures to keep people safe.

Staff identified risks to people’s health and well-being and had sufficient information about how to provide safe care.

People received the support they required to take their prescribed medicines safely. Trained and competent staff managed and administered people’s medicines in line with the provider’s procedures.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff involved people in making decisions about their care and supported them in line with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People received effective care because staff received supervisions, attended training and had the support they needed in their roles. People had their health and social care needs met.

Staff understood people's needs and preferences which enabled them to develop good relationships with them. People received care that was kind, caring and compassionate. Staff encouraged people to make decisions about how they wished to have their care provided. People had care that upheld their privacy and dignity.

Staff continued to provide care that was responsive to people’s individual needs. People enjoyed taking part in activities of their choice. People gave feedback on their views about the service and the registered manager acted on them. People knew how to make a complaint if they were unhappy with their care.

People and staff commented positively about the management of the service and stated that they found the registered manager to be supportive and approachable. There was an open and positive culture at the service that focused on people’s individual needs. Appropriate systems of audits on the quality and safety of the service identified shortfalls. Action plans put in place ensured the registered manager and provider addressed concerns identified in a timely manner.

Inspection areas

Safe

Good

Updated 17 August 2017

The service remains Good.

Effective

Good

Updated 17 August 2017

The service was effective. People received the support they required to eat and drink sufficient amounts to maintain a healthy weight. Staff involved healthcare professionals and followed their advice to support people with their dietary and nutritional needs.

People had their health and social care needs monitored and met in a timely manner.

Staff were trained and skilled for their role to provide effective care. People received care from staff with relevant training, appropriate support and a review of their performance through regular supervisions and appraisals.

People consented to care and treatment. Staff delivered people’s care in line with the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards.

Caring

Good

Updated 17 August 2017

The service remains Good.

Responsive

Good

Updated 17 August 2017

The service remains Good.

Well-led

Good

Updated 17 August 2017

The service remains Good.