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St Anne's Community Services - Norfolk Road Good

Inspection Summary


Overall summary & rating

Good

Updated 19 December 2018

St Anne’s Community Services – Norfolk Road is a two-storey house, in a quiet residential area on the outskirts of Harrogate. The service is registered to provide residential care for up to four adults who may be living with a learning disability or autistic spectrum disorder. The service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

This inspection took place on 6 and 8 November 2018 and was announced. At the time of our inspection there were three adults with learning disabilities using the service.

The care service has been developed and designed in line with the values that underpin the ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion so that people with learning disabilities and autism can live as ordinary a life as any citizen.

At our last inspection in February 2016, we rated the service ‘good’. At this inspection, the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager. They had been the registered manager since April 2018. A registered manager is a person who has registered with the CQC 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. The registered manager also managed two other of the provider’s locations and split their time between managing the three services. They were supported by a deputy manager and area manager.

People who used the were confident and at ease in their surroundings which showed us they felt safe. The provider safely recruited new staff and the registered manager made sure sufficient staff were on duty to meet people’s needs. We spoke with them about deployment within the service to make sure a person was not left unsupervised.

Staff were trained to recognise and respond to safeguarding concerns. They reported any accidents or incidents and the registered manager monitored these to help keep people safe. Medicines were managed safely. Risk assessments contained person-centred information to guide staff on how to safely meet people’s needs.

The environment was clean and generally well maintained. We recommended checking window restrictors regularly to make sure they remained in good working order. The laundry and bannister rails needed repainting to make them easier to clean.

Staff had regular training, supervisions and appraisals to support them to provide effective care.

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 made sure people ate and drank enough and helped them to attend appointment and access healthcare services when needed.

People and their relatives told us staff were kind and caring. Staff treated people with dignity and respect. They encouraged people to express their wishes and views and be involved in decisions.

The provider was meeting the accessible information standard. Information was provided in a range of accessible ways and staff provided effective support to help people communicate.

Care plans were person-centred and staff showed a good understanding of people’s needs and how best to support them. Staff supported people to take part in regular activities and access their wider community.

The provi

Inspection areas

Safe

Good

Updated 19 December 2018

The service remains Good.

Effective

Good

Updated 19 December 2018

The service remains Good.

Caring

Good

Updated 19 December 2018

The service remains Good.

Responsive

Good

Updated 19 December 2018

The service remains Good.

Well-led

Good

Updated 19 December 2018

The service remains Good.