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Inspection Summary


Overall summary & rating

Good

Updated 6 November 2018

The inspection of Santa Care took place on 10 October 2018 and was unannounced.

Santa Care 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. Santa Care provides care and support for up to five women who have learning disabilities, some of whom live with mental health conditions. At the time of our inspection five people were using the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support (RRS) 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 care home is owned and managed by Santa Bapoo, an individual who owns two other care homes in North West London. There is no requirement for a separate registered manager for this location. On the day of the inspection there were five people using the service. Public transport and a range of shops and other amenities are located close to the home.

At our previous comprehensive inspection on the 1 and 4 March 2016 we rated the service 'requires improvement' area of Safe. This was because we identified one breach of legal requirement because there were insufficient numbers of staff deployed to meet people’s needs and keep them safe. During a follow-up focused unannounced inspection on the 1 December 2016 we found that the provider had taken action to ensure that there were always sufficient staff on duty and therefore had addressed our concerns. Whilst improvements had been made, we did not revise the rating for the key question Safe, because to improve the rating to Good we required a longer-term track record of consistent good practice.

During this inspection we found there were no breaches of the regulations of the Health and Social Care Act (Regulated Activities) Regulations 2014, and we rated the service overall as Good.

All the people using the service told us that they felt safe, were happy living in the home and satisfied with the care and support that they received from staff.

Staff were knowledgeable about people’s needs and engaged with them in a respectful, sensitive and encouraging manner. Staff had a caring approach to their work and understood the importance of treating people with dignity, protecting people's privacy and respecting their differences and human rights.

People's care plans were up to date and personalised. They included details about people’s individual needs and preferences, and guidance for staff to follow so people received the care and support that they needed and wanted.

People had the opportunity to choose, plan and take part in a range of activities that met their interests and needs.

Appropriate staff recruitment procedures were in place so that only suitable staff were employed. Staffing levels and skill mix provided people with the assistance and care that they needed.

Staff received the training and support that they required to carry out their roles and responsibilities in meeting people’s individual needs and supporting their independence.

People’s medicines were managed safely. People were supported to access the healthcare services they needed. Staff liaised closely with healthcare and social care professionals to ensure that people’s health, medical and care needs were met.

People told us that they enjoyed the meals provided by the service. Their dietary needs and preferences were accommodated by the service.

Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). 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

Inspection areas

Safe

Good

Updated 6 November 2018

The service was safe.

Staff knew about their responsibilities to safeguard people and how to report suspected abuse.

Risks to people were identified and measures were in place to reduce them, whilst minimising restrictions on people's freedom.

Arrangements to manage and administer people�s medicines safely were in place.

Effective

Good

Updated 6 November 2018

The service was effective.

People�s dietary needs and preferences were understood and accommodated by the service.

People received support from staff who were competent in carrying out their roles and responsibilities.

People were supported to access healthcare services. Staff recognised changes in people's health, sought professional advice and followed it.

Staff sought people's consent before providing care and support.

The premises were accessible to each person using the service.

Caring

Good

Updated 6 November 2018

The service was caring.

People were treated with kindness from staff who knew them well and understood their cultural needs.

Staff protected people's privacy and supported them sensitively with their personal care needs.

People were supported to express their views and to be actively involved in decisions about their care and the service.

Relationships with those important to people were supported by the service.

Responsive

Good

Updated 6 November 2018

The service was responsive

People�s needs were assessed and understood. People received individualised care and support that met their needs.

People were fully involved in the development and review of their care plans.

Arrangements were in place to ensure the service was responsive to changes in people�s needs.

People had the opportunity to take part in a range of activities of their choice that met their preferences and minimised any risk of social isolation.

People knew how to raise concerns and complaints. People were listened to and complaints were taken seriously and addressed appropriately.

Well-led

Good

Updated 6 November 2018

The service was well-led.

The atmosphere at the service was open and inclusive. Staff were provided with the support and direction that they needed to meet the needs of people using the service.

Staff worked well together as a team and care was organised flexibly around people's individual needs.

There were processes in place to assess and monitor the quality of the service, and to drive improvement. These had been developed and improved since the last inspection.