Eretz

Updated 22 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection was unannounced and took place on 9 October 2018. It was completed by one inspector.

The provider sent us a provider information return (PIR). This document is designed to provide key information about the service, what the service does well and improvements they plan to make. We gathered this information as part of the inspection visit.

We looked at all the information we have collected about the service. This included the previous inspection report and notifications the registered manager had sent us. A notification is information about important events which the service is required to tell us about by law.

We looked at documentation for three people who live in the service. This included care plans, daily notes and other paperwork, such as medication records. In addition, we looked at records related to the running of the service. These included a sample of health and safety, quality assurance, staff supervision and training records.

During our inspection we observed care and support in communal areas of the home. We interacted with people who live in the home. We spoke with three staff members, the manager and the deputy manager who was very familiar with the home. We requested information from a range of external professionals, family members and staff. We received three responses from family members/advocates and four visiting professionals. In addition, we received written feedback from two staff members.

Updated 22 November 2018

Eretz is a care home without nursing which is registered to provide a service for up to ten people with learning disabilities and some with physical disabilities. 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. There were seven people living in the service on the day of the visit. All accommodation is provided within a two-story building within a village style development.

This unannounced inspection took place on 9 October 2018. At the last inspection we rated the service as good in all domains except caring which was rated outstanding. At this inspection we found 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. We were not provided with evidence to support the continued rating of outstanding in caring. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection .

Why the service is rated Good overall:

The previous registered manager left the service at the end of August 2018. There is a manager running the service who is in the process of registration. He is an experienced registered manager who is registered to manage another home located within the village development. Eretz will be added to this managers registration. 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. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People’s safety was upheld by staff who had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Staff understood how to protect people and who to alert if they had any concerns. General operational risks and risks to individuals were identified and appropriate action was taken to eradicate or reduce them.

There were enough staff on duty at all times to meet people’s diverse, individual needs safely. The service benefited from a stable and experienced staff team. The provider had robust recruitment procedures. People were given their medicines safely, at the right times and in the right amounts by trained and competent staff.

The service remained effective. Staff were well-trained and able to meet people’s health and well-being needs. They were able to respond effectively to people’s current and changing needs. The service sought advice from and worked with health and other professionals to ensure they met people’s needs.

The judgement for caring had reduced to good. This was not because there had been any overall decline in the standard of care practice but because there were no current or ongoing examples of outstanding performance provided.

People were encouraged 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 practise.

The service continued to be responsive. The committed, attentive and knowledgeable staff team provided care with kindness and respect. Individualised care planning ensured people’s equality and diversity was respected. People were provided with a range of activities, according to their needs, abilities, health and preferences. Care plans were reviewed by management regularly. Care plans contained up to date information and records demonstrated that risk assessments were reviewed within stated timescales.

The manager, whilst new to the service, was well regarded and staff described him as approachable and responsive. The quality of care the service provided continued to be reviewed and improved, as necessary.