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St Anne's Community Services - Smithies Moor Lane Good

Inspection Summary


Overall summary & rating

Good

Updated 20 September 2018

This inspection took place on 27 July 2018 August and was unannounced. We also inspected on 23 August and this date was announced. The service had previously been inspected in January 2016 and met all their legal requirements.

St Anne’s Smithies Moor Lane is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care home accommodates six people in one adapted bungalow. People at the home have complex physical and learning disabilities and require care provided by trained nurses.

There was a registered manager in place who had been registered since 2016. 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.

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 and were embedded within this service which worked to ensure people could live as ordinary a life as any citizen.

Staffing levels were based on the needs of people at the home and were reviewed daily. Staff had been trained and were confident to recognise safeguarding issues which meant people were protected from harm.

Risks were well managed to ensure people’s freedoms were not overly restricted and risk assessments were based on positive outcomes for people.

The provider continued to perform safe recruitment practices which were evidenced when we reviewed the records of the one person who had been recruited since our last inspection.

We found decision specific capacity assessments had been carried out for people who lacked mental capacity to consent to aspects of their care delivery. These were compliant with the Mental Capacity Act 2005 (MCA). Staff understood the principles of the MCA and how to ensure people’s human rights were respected when making decisions on their behalf.

Staff received ongoing support from the management team through a programme of regular supervision and appraisal and they had been trained to ensure they had the knowledge and skills to care for people.

People’s nutritional needs had been assessed and detailed plans were in place to support those people with enteral feeding systems. We observed staff supporting people appropriately to maintain their nutritional and hydration needs.

People had been referred to other health professionals when the need arose and we saw this had positively affected people’s wellbeing. How to contact professionals was clearly referenced in care plans to ensure all staff had access to this information.

We found all the staff to be caring in their approach to the people who lived there and treated people with dignity and respect. Staff knew the people they supported very well.

Consideration and thought has gone into the decoration and layout to create a homely environment and relatives commented the homeliness of the service was a decisive factor which helped them choose the home for their relative.

There was clear evidence of person-centred care and records contained information detailing people’s life histories, preferences and choices

The registered manager was visible in the service and communication was open, honest and transparent. Staff had clear direction and were sure about their roles and responsibilities. Systems and processes for ensuring the quality of the service were securely and effectively in place.

There was evidence the organisation reflected on and learnt lessons following incidents ensuring learning was shared to improve safety for people usin

Inspection areas

Safe

Good

Updated 20 September 2018

The service remains good

Effective

Good

Updated 20 September 2018

The service remains good

Caring

Good

Updated 20 September 2018

The service remains good

Responsive

Good

Updated 20 September 2018

The service remains good

Well-led

Requires improvement

Updated 20 September 2018

The service remains requires improvement