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Inspection Summary


Overall summary & rating

Good

Updated 18 January 2019

This inspection took place on 05 December 2018 and was announced.

At the last inspection in September 2017 we found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to the safe handling of medicines, cleanliness and the premises and good governance. We also made recommendations in relation to the environment.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions safe and well led to at least good. At this inspection we found that the provider had improved the cleanliness and safety of the environment. People’s medicines were managed in a safe way and overall governance of the service had improved. They were no longer in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

L’Arche Preston Moor Fold is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service is registered to provide accommodation for up to six people over the age of 18 who have a learning disability or autism/autistic spectrum disorder. There were five people living in the home at the time of our inspection. People who used the service liked to be known as core members and staff liked to be known as assistants.

The 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 in post at the time of our inspection. 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 was run.

The service had systems in place to protect people from abuse, neglect and discrimination. People who lived at the service and their representatives told us they were happy with the care and support provided and made positive comments about the staff.

People’s individual risks were assessed and their safety was managed and monitored. L’Arche Moor Fold were confident in positive risk taking and this enabled people to maintain their independence.

Staff were safely recruited and we found sufficient numbers of staff to support people who lived at the service.

We found a medicines management had improved, medicines were stored in a safe area and people were administered their medicines by staff who followed safe procedures.

The service was clean and well maintained. Maintenance work and redecoration had been prioritised since our last inspection.

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 told us that they were supported and listened to. We saw evidence of staff training courses and found that the provider made sure staff were suitably trained and experienced to support people who lived at the service.

People had access to quality food and encouraged to make choices around meal preparation. The service supported people to eat and drink enough to maintain a balanced diet.

People told us that staff were caring and compassionate. L’Arche as an organisation embraced a ‘community’ ethos and this was evident throughout the inspection findings.

We looked at people’s care records and found a very good standard of person-centred information. Care records showed how p

Inspection areas

Safe

Good

Updated 18 January 2019

The service was safe.

People felt safe in the service and were protected against the risk of abuse.

Safe recruitment practices had been followed. There were sufficient staff available to meet people's needs.

Accident and incident monitoring was in place to ensure people's safety.

The management of people's medicines had improved. They were managed safely and administered by trained and competent staff.

The environment safety and cleanliness had improved. The service was well maintained and areas had been redecorated.

Effective

Good

Updated 18 January 2019

The service was effective.

New staff completed an induction programme when they started to work at the service, followed by a range of mandatory training modules.

We established that formal consent had been obtained prior to care and treatment being delivered. Systems were in place for the management of DoLS applications.

People who lived at the service were in control of meal planning and their nutritional needs were assessed.

The environment was designed in accordance with the needs of those who lived at the service.

Caring

Good

Updated 18 January 2019

The service was caring.

Staff interacted well with those who lived at the service. People were provided with the same opportunities, irrespective of age or disability. Their privacy and dignity was consistently promoted.

People were supported to access advocacy services, should they wish to do so.

People were treated in a respectful way. They were supported to remain as independent as possible and to maintain a good quality of life. Staff communicated well with those they supported and were mindful of their needs.

Responsive

Good

Updated 18 January 2019

The service was responsive.

There was a significant drive to promote social inclusion. People were supported to take part in suitable activities inside and outside the service.

Each person had a care plan that was comprehensive and reflected the care they needed and wanted.

People told us they knew who to speak to if they had any concerns or complaints and were confident they would be listened to.

Well-led

Good

Updated 18 January 2019

The systems to assess monitor and improve the quality and safety of the service had improved.

There were systems in place to seek feedback from people living in the service, visitors and staff.

People made positive comments about the registered manager and staff. They felt the service was well managed.