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Inspection report

Date of Inspection: 24 November 2011
Date of Publication: 30 December 2011
Inspection Report published 30 December 2011 PDF

People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

How this check was done

Our judgement

Effective measures are in place through staff training, policies, staff practice and revised reporting procedures to minimise the likelihood of abuse occurring.

User experience

Most people were not able to comment directly on this outcome area due their complex needs and communication difficulties.

People who we spoke with told us “Yes, I feel safe here” and “I am happy here, the staff are nice”.

If people who use the service had concerns they told us they would “Talk to the staff” and “Tell my key worker”.

We found there was positive and respectful communication between the staff and the people using the service, staff treated people in a kind manner and understood their needs.

Other evidence

We saw that the service had adult safeguarding policies and procedures for staff to follow.

Staff who we spoke with told us that they had received training in safeguarding adults and were clear of the process to follow in raising any concerns. We looked at training records which confirmed that staff had received up to date safeguarding adults training.

We looked at incident reporting records. The manager confirmed that the service had not always reported all the “low level” one to one incidents between people who use the service to the relevant authorities. However in recent weeks she had been made aware of the need to report all incidents of this nature to the local safeguarding authority and to the Care Quality Commission (CQC). The manager confirmed that staff had been made aware of the incident reporting criteria. Staff who we spoke with were clear about reporting all one to one incidents.

The manager told us that all staff had received training on physical intervention when they started work at the service and that this training was updated yearly. The form of physical intervention used is British Institute of Learning Disabilities (BILD) accredited which is part of current guidance and good practice. One staff member told us “We rarely have to use restraint. We find that talk down strategies and distraction techniques work very positively with the young people who live here”.

We saw records which showed that the staff used mental capacity act assessments and ‘Best Interests’ decision making processes when required. The training records indicated that staff had received training in the legislation to support mental capacity and deprivation of liberty.

We observed that the staff were respectful and polite towards people using the service and the people living in the home appeared relaxed and confident in the company of the staff.