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Archived: The Lady Verdin Trust - Claremont Requires improvement

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 July 2018

This was an unannounced inspection carried out on 22, 23 and 24 May 2018.

At our last inspection on 5 and 7 September 2017, the service was in breach of regulations relating to person centred care, consent, safe care and treatment, safeguarding service users from abuse and improper treatment, staffing and governance. The service provider was also in breach of the regulation requiring them to display their rating.

We rated the service as 'Inadequate' and placed it into Special Measures. We asked the provider to complete an action plan to show what they would do and by when to improve the key question(s) effective, responsive and well-led to at least good. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe.

During this inspection the service demonstrated to us that improvements have been made and is therefore no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures. At this inspection the overall rating for the service is 'Requires Improvement'. The service had made some improvements and was no longer in breach of the regulations. However, we found that these improvements needed to be ongoing and sustained.

The lady Verdin Trust - Claremont 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 service accommodates up to four people in one adapted building. At the time of our inspection there were four people living at 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. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a registered manager, however they were about the leave the service. An application to register a new manager was in progress. 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.

Since the last inspection each person’s support plan had been reviewed and re-written. Risk assessments had also been reviewed. However, assessments were not always in place for all areas of identified risk. Work was ongoing on these. Despite gaps in the records, we found that appropriate actions had been taken to mitigate areas of identified risk.

Work had been undertaken to support staff to understand and apply The Mental Capacity Act 2005 (MCA). Information about people’s communication needs was included within their support plans. We saw that mental capacity assessments had been undertaken in a number of areas. Further work was needed to ensure that any best interest decisions were fully recorded. All Deprivation of Liberty Safeguards (DoLS) applications had been made since the last inspection and everyone living at the service had an appropriate authorisation in place.

People continued to receive their medication safely. Staff undertook training in the safe administration of medicines and records demonstrated that competency checks were completed. We identified some minor shortfalls in the recording around medicines and the management team took steps to address these.

Staff were trained in safeguarding procedures and understood their responsibilities to report any concerns of this nature. Since the last inspection the registered manager confirmed they had not needed to make any referrals to the local authority in

Inspection areas

Safe

Requires improvement

Updated 19 July 2018

The service was not consistently safe.

Risk assessment were being undertaken, however further improvements were needed to ensure all risk assessments were undertaken.

There were sufficient staff to meet the needs of people living at the service.

Staff understood their responsibility to report any safeguarding concerns.

Overall medicines were managed safely.

Effective

Requires improvement

Updated 19 July 2018

The service was not consistently effective.

The provider had made improvements to ensure that staff worked in accordance with the MCA. Further improvements were required around the recording of best interest decisions.

Action had been taken to ensure that the provider could demonstrate how staff had completed appropriate training to meet people�s needs.

A system to ensure that staff received appropriate supervisions and appraisal was being embedded.

People were supported to eat and drink and maintain a balanced diet

People continued to be supported to maintain good health

Caring

Good

Updated 19 July 2018

The service was caring.

Staff were promoting personal choice and independence more effectively by involving people and their relatives in day to day decisions regarding their care.

Staff knew the people they were caring for well.

We found that people�s privacy and dignity were respected.

Responsive

Requires improvement

Updated 19 July 2018

The service was not consistently responsive.

Support plans had been re-written and were more person centred.

Staff now placed importance on promoting independence and maintaining people�s skills. Goal plans had been introduced.

A complaints procedure was in place and relatives told us that they felt able to raise any concerns.

Well-led

Requires improvement

Updated 19 July 2018

The service was not consistently well-led.

Systems had been implemented to effectively monitor the quality of the service.

Staff told us they felt well supported and there were improvements in the organisation of the service.

The service had displayed their rating as required.