You are here

Inspection Summary


Overall summary & rating

Good

Updated 2 September 2017

Ann Coleman Centre is registered to provide accommodation and personal care for up to seven people. At the time of our inspection five people with autism were using the service.

The inspection was announced. We contacted the provider 24 hours before our visit to tell them we would be coming. We did this as we had previously been informed that one person found it upsetting when someone new came to their home. Giving staff some notice allowed them to prepare the person for our visit. This inspection was carried out by one adult social care inspector.

At our last inspection in December 2015 we rated the service overall as Good. However at that inspection we found a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the provider had not regularly reviewed their policies and procedures and environmental risk assessments to ensure they were kept up to date.

Following that inspection we told the provider to send us an action plan detailing how they would ensure they met the requirements of that regulation. At this inspection we saw the provider had taken the action they had identified in their action plan. As a result improvements had been made and the service was no longer in breach of this regulation.

As a result of this inspection we have rated the service Good.

Why the service is rated good;

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider. 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.

The service was based upon the individual needs of people, provided by caring staff who were well supported by the registered manager and, was continually seeking to improve. We did not find any breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 during this inspection.

People were safe. The registered manager and staff understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. There was enough staff to safely provide care and support to people. Checks were carried out on staff before they started work with people to assess their suitability. Medicines were well managed and people received their medicines as prescribed. Measures to prevent the spread of infection were in place.

The service was effective in meeting people’s needs. Staff received regular supervision and the training needed to meet people’s needs. Arrangements were made for people to see a GP and other healthcare professionals when they needed to do so. The service complied with the requirements of the Mental Capacity Act 2005 (MCA). The physical environment was personalised and met people’s needs.

People received a service that was caring. They were cared for and supported by staff who knew them well. Staff treated people with dignity and respect. People’s views were actively sought and they were involved in making decisions about their care and support. Information was provided in ways that were easy to understand.

The service was responsive to people’s needs. People received person centred care and support. They were offered a range of activities both at the service and in the local community. People were encouraged to make their views known and the service responded by making changes.

The service was well led. The registered manager provided good leadership and management and was well supported by the provider. The safety and quality of service people received was monitored on a regular basis and where shortfalls were identified they were acted upon.

Inspection areas

Safe

Good

Updated 2 September 2017

The service remains Good.

Effective

Good

Updated 2 September 2017

The service remains Good.

Caring

Good

Updated 2 September 2017

The service remains Good.

Responsive

Good

Updated 2 September 2017

The service remains Good.

Well-led

Good

Updated 2 September 2017

The service has improved to Good.

The governance arrangements, including policies and procedures and environmental risk assessments, had been regularly reviewed and kept up to date.

The vision and culture of the service was clearly communicated to and understood by staff.

The registered manager and provider delivered good leadership and management.

Quality assurance systems were in place and, where shortfalls were identified they were acted upon.